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City of Santa Ana <br />Clerk of the Council S <br />AGREEMENT TERMINATION 05 <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Please complete this form when the attached agreement is no longer in effect.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 />----------------------- _______________--------------- ______ ____________ ____--------------- <br />The agreement with 1 n er! VQs p-� �} <br />No. was completed on 30 -Q d <br />and final payment has been made. <br />W-1009 -697 <br />Department: (/y <br />J 1 <br />N- 2008 - 0 V -001 Phone /Ext.: <br />f <br />Signature: <br />Date: j D <br />Revised 12 -07 -07 <br />