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City of Santa Ana <br />.e'. 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 eff ect. <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. was completed on <br />(List all amendments. Use space below if needed.) <br />Revised 08 -2310 <br />G20[� <br />J <br />Only <br />;'i 0 t <br />)� and final payment has been made. <br />Department: W i <br />Phone /Ext,: <br />Signature: <br />Date: <br />