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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />L [5 Xi Chi is Us <br />Please complete this form when the attached agreement and aft C) Y OF A N A A N , <br />amendments [if any) are no longer in effect. EPA0" rr UNIr <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. <br />Ity <br />The agreement with "�vfa�A)&Iv, <br />No. 7 )) was completed on PZ 3f ' I and finai payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />e -i7- wry <br />G <br />