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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION <br />~~~~~ <br />Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Clerk of the Council Office (M~c~:.~; ~ia~ <br />Call 647-2520 if you have any questions. <br />__________________________________________________________________________________________ <br />The agreement with ~ ~ ~ ~/~J,~ % V~ 11 y/~~~ <br />No. ~ .i~~~ ~' ~ ~~ was completed on <br />and final payment has been made. <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 05-04-OS <br />.~~ n ~ <br />