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City of Santa Ana <br />c 201 <br />Clerk of the Council <br />... . .............................................. <br />COTC Office Use Oni y <br />. . .......... . .... . ..................................... <br />AGREEMENT TERMINATION FORM <br />703 Pf,- . -6 P� <br />Please complete this form when the attached agreement and all <br />CITY OF S,*ffi5 <br />amendments fit any) are no longer in effect. <br />Cl ERK OF <br />M, <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 Defy Brothers Construction Company <br />No.4 A-2013-125 (30 — was completed on 12/31/2014 <br />and final payment has been made. <br />As (List all amendments. Use space below if needed.) <br />A-2008-213 ( 3) ate, <br />Department <br />A-2009-213-001 (3q) <br />PWA -Water <br />A- 9,608-213- 60 1 (30 Phone/Ext.: <br />3379 <br />A -2008.213-003 (30 <br />A-200$ 21 004 (3A) Signature: <br />Date: <br />8/5/2015 <br />Revised 10-31-12 <br />