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City of Santa , ,a <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amendments (if any) are no longer in effect.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 />N-2015-098 <br />No. was completed on <br />(List all amendments. Use space below if needed.) <br />Use Only <br />2no FEB ±-b Ply y- 28 <br />CITY OF SANTA ANA <br />CLERK OF COUNCIL <br />7 -- - <br />9 I'20r7 and final payment has been made. <br />Department: ern / L1 YJr+^(led <br />Phone/Ext.: <br />Signature: <br />Date: cam'/ l-/ <br />Revised 10-31-12 <br />