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~ i,~ s <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Please complete this form when the attached agreement is no longer in effect.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). Ca11647-6520 if you have any <br />questions. <br />---------------------------------------------------------------- <br />The agreement with ~ ~~2 ---~~~ <br />~~ <br />was completed on D ~~ ,and final payment has been made. <br />Department: ~' ~ Jr 1 <br />Signature: ~/U~j <br />Date: ~ ~ ~~ <br />J <br />City of Santa Ana <br />Revised 4-16-87 Clerk of the Council <br />