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City of Santa Ana <br />IT Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. <br />The agreement with <br />(10), <br />No. — 1214,-'Cawass completed on //�j> �/ 2 and final payment has been made. <br />(List all amendments. Use space below if needed.)�� <br />A 2a66-12b core C* <br />4- q.-}4M-t23 -D0(C1a) <br /># R ZoOg -126 bog C1b) <br />Department. <br />Phone/Ext.: <br />Signature: % <br />Date: <br />Revised 08-23-10 <br />