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Glos <br />AGREEMENT TERMINATION <br />iL 4e 5� REF <br />- > e <br />Please complete this form when the attached agreement is no longer in effect. <br />t <br />Return form to the Deputy Clerk of the Council (M -30). Ca11647 6524 I y�iz. have auy =' } <br />questions. <br />The agreement with , pI &kerme r-, -,-*, <br />Aj , -20a,3— 9 <br />was completed on ( and final payment has been made. <br />Q-aoo 'OC�L-9- I <br />Department: F-Of <br />Signature: E36a bg o <br />Date: D 1 i M IA <br />City of Santa Ana <br />Revised 4 -16 -87 Clerk of the Council <br />