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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amendments (if any) are no longer in effect.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 647-1520 if you have any questions. <br />The agreement with <br />G 20[1 <br />COTC Office Use Only" <br />13 9 <br />No. 14-2013-011 was completed on `f I and final payment has been made. <br />(List all amendments. Use space below ff needed.) <br />Department: JWQ—I'A- <br />Phone/Ext.: sa-s � <br />Signature: � IN 6a �Pn�il�5 <br />Date: -7Mi f is <br />Revised 10.31-12 <br />