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City of Santa Ana <br />.. ~ Clerk of the Council <br />r_~..~ <br />., <br />AGREEMENT TERMINATION <br />T ~ { ~' <br />. ~~ ~~ ,.5 <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Please complete this form when the attached agreement is no longer in effect.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 />------------------------------------------------------------------------------ <br />NOTE: PLEASE INCLUDE ALL AMENDMENTS IF ANY. THANK YOU. <br />The agreement with Q ~ (~~'~ ((,U ~~ ~ S~p~~~' <br />~J / <br />No. N -~UD~,.._ ~~ was completed on Q~' ~ ~ 1~ // <br />and final payment has been made. <br />Department: ~A-- <br />Phone/Ext.: 5(,~y~ <br />Signature: <br />Date: ~1l(~~7(tc~ <br />Revised 12-07-07 <br />