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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />G Znfz <br />COTC Office Use Only <br />JUN <br />Please complete this form when the attached agreement and all r-,- p, <br />amendments if an are no longer in effect.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 />No. N -2012 -025 was completed on —P4—i-3�-;Iand final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone /Ext.: <br />Signature: <br />Date: 62 11--!4�y <br />Revised 0 8-2 3-70 <br />