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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 GI <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amendments (if any) are no longer in effect.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 />AM 22 PM 4: ^4 <br />SANTA ANA <br />OF COUNCIL <br />N-2018-179 � <br />No. was completed on l I I and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: ipa.-%A <br />Phone/Ext.: 5asLl� <br />Signature: El Q k� o (k-,P1 <br />LIP <br />I <br />Date: :7IQ4P Lk' <br />Revised 10-31-12 <br />