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V • <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Sr_ Deputy Clerk of the Council (M-30), Call 647-5238 if you have any <br />questions. <br />----------------�---„-- -----------------------,----- <br />T`he agreement with </ I GLV / a` %�`� No. -pZ�04—W c' <br />was completed on -0 q , and final payment has been made. <br />Department: PO t ) ce. <br />Signature: t BAm l <br />Date: <br />City of Santa Ana <br />Revised 8-7-03 Clerk of the Council <br />