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r . ~ ,/ <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Please complete this form when the attached agreement is no longer in effect.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 />The agreement with ~~t ~~~~ n '' ~~~'~,~_ , No. ~~-~ CJ'~~ (' <br />' , ~~ <br />was completed on ,~,(~ ~ /~~~~ ,and final payment has been made. <br />Department: <br />Signature: <br />Date: 3~3 ~ ~~ <br />City of Santa Ana <br />Revised 8-7-03 Clerk of the Council <br />