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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 effgpt~ ~~EIV _~ ~~ ~_ ~~ <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. <br />________________________________________________________~~~-~=_=-====b-s~====___________ <br />The agreement with ~~~1~ ~~%~~,,~.~,p;~ ~ ~p~, ~~ <br />i <br />~S'Vo. ~/- 02()(),Q - QQ~ was completed on ! ~ ~ r / c7 „ <br />and final payment has been made. <br />Department: Ph <br />Phone/Ext.: ~~`~-I~ <br />Signature: '~~ ~.-~.-,z, <br />Date: i ,~~ ~ of rs ~~ <br />Revised 12-07-07 <br />