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<br /> <br />City of Santa Ana <br />Clerk of the Council <br /> <br />AGREEMENT TERMINATION <br /> <br />Please complete this form when the attached agreement is no longer in ~W~c~.PR 28 <br />Return form to the Clerk of the Council Office (M-3D). <br />Call 647-5237 if you have any questions. <br /> <br />- <br />AM 9: 09 <br /> <br />CITY f <br />ClC: <br /> <br />""IA <br />_. ".",h <br />". l <br />j: Ir.. 'I! <br />' ; '_ 1 ~ <br /> <br />------------------------------------------------------------------------------------------ <br />------------------------------------------------------------------------------------------ <br /> <br />The agreement with C \ ~ - Y Al., Cr-, . <br /> <br />No. ~ -? ------c - 211 was completed on <br /> <br />Department: <br /> <br />1/2.41 2.= B <br /> <br />'Prl A--- ~ C\+ey ,?Y1jd, <br />)('-. =::'~I B <br /> <br />Na\o\ L \.~a.I.:::::>"- <br />~ob <br /> <br />and final payment has been made. <br /> <br />Phone/Ex!.: <br /> <br />Signature: <br /> <br />Date: <br /> <br />Revised 07-23-07 <br />