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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amendments (if any) are no longer in effect.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 />Cali 647-1520 if you have any questions. <br />The agreement with <br />L17JU -7 PH 3:54 <br />SANTA AHA <br />C, 20kV/ <br />Use Only <br />No. N-2015-043 was completed on o(,((-)5117 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department <br />1-110^0 <br />Phone/Ext.: 221T ar 27 l^ <br />Signature:iw i <br />Date: <br />Revised 10-31-12 <br />