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City of Santa Ana <br />r~~ Clerk of the Council C cQUQ~ <br />~~'` AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. 9f*'r. a~~~t~ _ ~ ~~ ~: ~6 <br />Retum form to the Clerk of the Council Office (M-30). <br />Call647-5237 if you have any questions. <br />_______________________ ~li~~r, :,~ <br />-----------------J------- _ ,, <br />-----_l------------ __ <br />The agreement with ~''~ ~ ~ -- <br />e~ , <br />i ~ ~f'1 r, j ~ ~ f~ ?~f' J <br />- _ ~~ v~ ~~ i ~¢ <br />No. A - <br />- / ~'~ x'Gi~/ i~- ~~~ - ~,'`~ / was completed on 6 ~ ~ , ~ ~ J „ <br />7 <br />and final payment has been made. <br />- Department: <br />~i~ <br />Phone/Ext.: ~ ~~~ <br />Revised 07-23-07 <br />Signature: ~ ,n~ pp~ <br />Date: <br />`'~ -''~' 1 ~=~ <br />