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City of Santa Ana <br />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amendments (if any) are no longer in effect.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 />C20(z <br />COTC Office Use Only <br />a r Y,': i3- 4J <br />No N- 2012 -150 ((_t was completed on j- and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N -ID) 7- -0 b2 (1), (Olt <br />Department: <br />Phone /Ext.: <br />Signature: , —S Q��r f � IPW CAC <br />Date: Li I rl I <br />Revised 07 -25 -12 <br />M <br />