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City of Santa Ana <br />s 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amendments (if any) are no longer in effect.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 />Bill <br />C—,i �'i C <br />Only <br />No. A- -�013 - D-7 9 was completed on ! 7 and final payment has been made. <br />(List ail amendments. Use space below if needed.) <br />Department: Cs4tiZvwivu E '�V2lb atieu It -C 1 <br />N <br />Phone/Ext.: <br />Signature: <br />Date: <br />