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i <br />~`~ <br />AGREEMENT TERM <br />Please complete this form when the attach INATIQN <br />ed agreement is no longer in effect. <br />Return form to the Sr. Deputy Clerk of the Council <br />questions. <br />(M-30). Call 647-5238 ifyou have any <br />The agreementwithG ~ _-_------'--------- <br />was completed on , No. /ll ~t~.~,~/ <br />and final payment has been <br />made. <br />Department: ~ ~` <br />~ Signature: <br />Date: _ ~~~-~~ <br />Revised 8-7-03 <br />City of Santa Ana <br />Clerk of the Council <br />