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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Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. <br />The agreement with <br />G 7-0 <br />2'ul'j' -I' I ' 0 <br />N 4: 20 <br />C,I <br />No. -A4ffW- IT.F was completed on lc2) Wog <br />and final payment has been made. Department: 1P PZS A <br />Ij - 5WO-7 - is-D--C) 1 Phone/Ext.: 5JZ-94 <br />Signature: �Z-� a, Ukdck!_D <br />Date: (0 1 L>i IL <br />a ,, 12m 17 <br />