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City of Santa Ana <br />r`1 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amendments (if any) are no longer in effect.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 />No. N-2014-001 was completed on <br />(List all amendments. Use space below if needed.) <br />Revised 10-31-12 <br />C, 2014 f <br />COTC Office Use Only <br />7 <br />CITY � <br />i <br />,-;r Z�AVTI, <br />j ) and <br />y�fi/n1all payment has been made. <br />Department: PtL� r4 <br />Phone/Ext.: <br />Signature: SA -QA >ia�9 ri1,JCl 1 <br />Date: 9121 1 l LP <br />