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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 <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M -30). <br />Call 647 -6520 if you have any questions. <br />The agreement with <br />No. N- 2014- 097(y);ft was completed on <br />by (List all amendments. Use space below if needed.) <br /># N•zots-uo1Gt`r) <br />Revised 08 -23-10 <br />G 1%; <br />4ITY fad -3A +a . s `;R: <br />CHERIK <br />d 4and final payment has been made. <br />1 <br />Department: ko�tl cLqlz?a) <br />Phone /Ext.: X66-76 <br />e _ <br />Signature: <br />Date: <br />