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r <br />r "~ <br />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Please complete this form when the attached agreement is no longer in effect.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 />~ ~~ , No. ~~ ap0~-D9'~ <br />The agreement with ,~-~/E~ ~~~ ~~`'" ' <br />was completed on I D ~~~ ~ ~ " I ,and final payment has been made. <br />~~ <br />Department: <br />~;' ~ ~ - , ~ <br />Signature: <br />Date: ~' ~ ~ " ~ ~~ <br />City of Santa Ana <br />Clerk of the Council <br />Revised 8-7-03 <br />~ <br />