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City of Santa Ana <br />®; y Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />7017 OAR 23 <br />Please complete this form when the attached agreement and all CITY O <br />amendments (if any) are no longer in effect. CLE <br />RK <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-Mftif you have any questions. <br />&152D <br />The agreement with ACCO — 6-t74 1 (3\/1.4�-:-DME-7dT1— <br />� 2ot✓ <br />COTC Office Use Only <br />NA <br />No. A-20 1C? ' It' <br />)� (4f) was completed on 6---30-201% and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Al h -,1001 -In <br />A -300q - n4$ Cta)Department: <br />k ' 200 - 200¢ OOS _2 <br />002.1'01 C ob) ((40ft4, h - 2n0q - 06j fl�)Phone/Ext.: <br />� <br />h-104-1-4 C4o) Signature: <br />DELIVERED MAR 2 2 2016Date: <br />Revised 0472-10 <br />P-. M„ S_ A ,—l6LDG, i'Vii r <br />