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C 2004 <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Deputy Clerk of the Council (M-30). Call 647-6520 if you have any <br />questions. <br />The agreement with V ?a7 4� 2s�d La (✓ , A- <br />was completed on q (� t]� , and final payment has been made_ <br />Department <br />Signature: <br />Date: <br />City of Santa Ana <br />Revised 4-16-87 Clerk of the Council <br />