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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all C <br />amendments (if any) are no longer in effect. i <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. 14-2013A22-001 <br />was completed on <br />(List all amendments. Use space below if needed.) <br />COTC Office Use Only <br />MUG 21 F11 4: 57 <br />F SANTA ANA <br />OF COUNCIL <br />,0/@ol and final payment has been made. <br />Department:PRCSA <br />Phone/Ext.: (42 k� <br />Signature: <br />Date: !Iq,(RoC 01 <br />Revised 10-31-12 <br />