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fty <br />sK* <br />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amendments (if any) are no longer in effect.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 -1520 if you have any questions. <br />The agreement with <br />GIiy <br />LEpLe 0 <br />r <br />No. N- 2015 -041 lei) was completed on and final payment has been made. <br />(list ap amendments. Use space below if needed.) ' <br />A10 - 4, 0 20(4 -041 (I) Core Department: �f Il�PJ rj r`!lG <br />0- 2W-00-7 (10t) Phone /Ext.: <br />Revised 10 -31 -12 <br />Signature: <br />Date: <br />