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City of Santa Ana <br />----- ------------ - - -- - -------------- ------ - ----- - --- - -- ---------- <br />Clerk of the Council COTC Office Use Only <br />AGREEMENT TERMINATION FORM <br />ML: <br />6 ' N 25 N 3t 05 <br />Please complete this form when the attached agreement and all CITY OF S',ki <br />amendments (if any) are no longer in effect. r%' ERV <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 Beavens Systems Inc. <br />No. N-2012-141-01 - was completed on 12/31113 and final payment has been made. <br />l (List all amendments. Use space below if needed.) <br />cot Department: PWA - Water <br />Phone/Ext.: 3379 <br />Signature: <br />Date: 1/20/2016 <br />Revised 10-31-12 <br />