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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Please complete this form when the attached agreement is no longer in effect.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). 7113 <br />Call 647-5237 if you have any questions. <br />The agreement with � /�/�{ , //may <br />\/tom / �'-f� /C� G/L^e 1 A./J 'J,wJ , <br />No. c G q _ls CIA) was completed on <br />and final payment has been made. <br />�! A - 2001-161 Ci) core <br />Revised 07-2M7 <br />• <br />Department: <br />6 1 <br />Phone/Ext.: <br />Signature: <br />Date: <br />