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<br />f~ <br /> <br />~ AGREEMENT TERMINATION <br /> <br />Please complete this form when the attached agreement is no longer in effect. <br /> <br />Return form to the Deputy Clerk of the Council (M-30). Cali 647-5238 if you have any questions. <br /> <br />------------------------------------------------------------------------------------------ <br />------------------------------------------------------------------------------------------ <br /> <br />The agreement with f3o~~, ~ <br />No. NJ~~~g--Cl~ was completed on () <br />,- -,--. <br />- . <br />and final payml!!l! has been made. <br /> <br />/v(;;wloe <br />j..M;T f""7 <br /> <br />N <br />>- <br />'-' <br /><::> <br /> <br />Department: <br /> <br />FiR.&- <br /> <br />0':', <br />S <br />....., <br /> <br />)-L.J <br />1--1 <br />(3'-' <br /> <br />Date: <br /> <br />~)/g, tf/~ <br />/tJ/~/Djt) <br /> <br />Signature: <br /> <br />City of Santa Ana <br />Clerk of the Council <br /> <br />Revised 05-22~B <br />