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41 City of Santa Ana <br />D <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amendments (if any) are no longer in effect.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 />N 2013-150 <br />No. was completed on <br />(List all amendments. Use space below If needed.) <br />C2©[,t <br />COTC Office Use Only <br />2914 JUL24 PM 14: 56 <br />SANTA NA <br />OF C�iMM-1_ <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 10-31-12 <br />and final payment has been made. <br />IWI�f/ s �� <br />