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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 <br />amendments (if any) are no longer in effect. <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 />G 2015- <br />COTC Office Use Only <br />n. r 17 <br />4 _VL4q rtLC1urf- j -Tvtc <br />No. A - 2oi i - iU j - 0y) (2 was co - eted on I0 A; 1-q-- and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />jl °2pti�i� -022 (2b) Department: �WAF Oil <br />Pr -7011 - to 3- 0 t (U) <br />f°t -Z�vji- C0300wt <br />Revised 0 8-2310 <br />Phone /Ext.: 11+? --G41- 56S <br />Signature: ✓ U <br />Date: <br />