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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 Please complete this form when the attached agreement is no longer in effect.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 /> NOTE: PLEASE INCL AL ENDrC)U \ <br /> ENT IF ANY. T YOU. <br /> The agreement with -11r t ;�� L C[, van Do /G, <br /> No. -AT dDtO 0 1 was completed on al i J \ <br /> � 1 <br /> and final payment has been made. : t ) /► I <br /> Department: �(/f� kid <br /> Phone/Ext.: <br /> Signature: � <br /> Date: 161 (3 l `pQ <br /> Ravisad 12.07-07 <br />