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(9) <br />City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use <br />Please complete this form in its entirety when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements <br />have been satisfied prior to signing the termination form. <br />t ! W O~ THE f1OUtk'CIL <br />Is the agreement(s) a permanent record? Yes Noji€J 2 a PG: 30 <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 S'y10k e9,(e (kjy-i) �2 <br />N-2018-132 <br />No. was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRcJ:5A <br />Phone/Ext.: LJAI G� <br />Signature: Av, <br />Date: <br />Revised: 10-18-16 <br />