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City of Santa Ana <br />1 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amendments (if any) are no longer in effect.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 -1520 if you have any questions. <br />9 n o, <br />Use Only <br />The agreement with AKE -PLS FiE- L -R� W-F—Li ANN IrLk' -'k 1! 60011 P-APJ� <br />No. ZaiZ -a>-t z ( fpl1 was completed on _'31 - LD )> and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PWa <br />Phone /Ext.: 3 7>%/ <br />Signature: <br />Date: � ° f 7- 7,0f5-- <br />Revised 10.31 -12 <br />. Y <br />