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City of Santa Ana ~, <br />Clerk of the Council <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. ~~ _ ~ t~ ` <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. C~~Y ~ • ~a ~~~ <br />___________________________________ ' CLER;' ~t ~~~~~~~JL <br />r -' <br />The agreement with ~~; ~~ ~ - f.- ,,..: , . _ /r ~' ,~ , ,~ , ~ ~ ~ ~ .: x, _ ~r , <br />~ ~ ~,. ; <br />No. - yam' ~ ~, ~ ~ ~ ~ ~ ` ~~ was completed on ~~~ ~ ~~ ~ ~ ~ ~~> <br />and final payment has been made. ~-~ , . ~ I <br />Department: ~~ I -~ ~~ ~/ j~ <br />~ .1 <br />Phone/Ext.: ,~~ <br />/ ` /_ <br />Signature: <br />Date: t'~> ~ , ~ _ ~a <br />Revised 12-07-07 <br />