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C, 2-0 <br />AGREEMENT TERMINATION <br />9 AR 27 AM' 9t 4 <br />Please complete this form when the attached agreement is no longer in effect. <br />" f ;s'; =TA ANi <br />Return form to the Deputy Clerk of the Council (M -3b). Call 64,' ., ft, � <br />questions. <br />-- ---------------- ---- - - - --- <br />The agreement with /V, Q%�� G%l? 67& <br />was completed on (Dl �n? (cif and final payment has been made. <br />N' 1000-139 Department: ,fib <br />Signature: <br />Date: )Ah � <br />Revised 4 -16 -87 <br />City of Santa Ana <br />Clerk of the Council <br />r5 <br />0� <br />