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<br />7f~ ILl{; 27 . <br />Please complete this form when the attached agreement is no longer in effect.; - AM g. 33 <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-5237 if you have any questions. <br /> <br />.......................... <br />.",\\;,' <br />"'='-- <br /> <br />City of Santa Ana <br />Clerk of the C<\....;::i1 <br /> <br />AGREEMENT TERMINATION <br /> <br />i\ <br /> <br />--< <br /> <br />r.::TY <br /> <br />. :'.~!A <br />:'l'I' <br />.J ... <br /> <br />------------------------------------------------------------------------------------------ <br />------------------------------------------------------------------------------------------ <br /> <br />('Lf:"' <br />,.1 :~. <br /> <br />The agreement with ---yY\ LA~ ~AI. - C\~. ~I R. ,~~ ~- <br />\' ~ \:, <br />A- ~007- 0 'is was completed on ~~ ~ 9; .).OO~ <br /> <br />Department: (I..b-N. ""'" ~~.u, ~~ <br />Phone/Ext.: '/.. S ~ 11 <br /> <br />~/~~~ <br /> <br />No. <br /> <br />and final payment has been made. <br /> <br />Revised 07 -23.(J7 <br /> <br />Signature: <br /> <br />Date: <br />