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City of Santa Ana <br />~, _~ Clerk of the Council ~ ~ ~ b <br />AGREEMENT TERMINATION <br />> • ~._ ~. <br />Please complete this form when the attached agreement is no longer in effect. r ~ ~ r ^ ~ F, ~ „~ <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-5237 if you have any questions. <• ° -~ ~ ,, <br />t ,{ <br />________________________________________________ <br />---------------- <br />The agreement with ~~~ - ~~ ~~~ ~ , ~, - <br />i i <br />~. <br />No. /j/--~~~~ ~ ~-~~~ was completed on ~ ~ -" ~ ~-~ <br />~l/'o~~dLi'~- ~U~~-~~ <br />and final payment has been made. <br />,/~~, ~ L~~ `~- / L~ ~ - L' ~, Department: ~~~ ~ ~. <br />Phone/Ext.: (~~,~~ <br />Signature: ,,~ G~~;~,,tiZ~. <br />Date: ~~ ~ / ~- (~~ <br />Revised 07-23-07 <br />