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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amendments (if any) are no longer in effect.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 />COTC Office Use Only <br />--------- ------------------------------------ - --------------- - <br />`P 27 AN & 21 <br />CITY -1 0 W1 <br />f! A AN <br />CLEFU M�, l�, <br />- <br />No. N-2013-087 was completed on (PIW.IIS— and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: IFQS4 <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 10.31-12 <br />