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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINAYION 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amendments (if any) are no longer in effect.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 Suarez, Raymundo <br />G 200b <br />COTC Office Use Only <br />No N -2005 -101 was completed on 6/30/06 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N- 2005 - 101-01, N- 2005 - 101 -02, N- 2005 - 101 -03, Department: PRCSA <br />N- 2005 - 101 -04, N- 2005 - 101 -05, N- 2005 -101 -006 <br />N- 2005 -101 -007 Phone /Ext.: 5254 <br />Signature: a CiAJ lfSl 21 <br />Date: 6/16/14 <br />Revised 08 -23 -10 <br />