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City of Santa Ana <br />i 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amendments (if any) are no longer in effect.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 />G 2®4-J <br />17 ifl' use only �{ <br />CITY,QF SANTA ANA f <br />CLERK OF COUNCIL III <br />The agreement with G�T infleoer'ia, ; Tn� <br />No. 4 -Q(W - I [a g was completed on -1'5- ! and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: uJ phi ` ,'i <br />Phone/Ext.: 214 <.7 -.2719 <br />J <br />Signature: <br />d <br />Date: 7-L5-IZ— <br />