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L�aoS <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Please complete this form when the attached agreement is no longer in effect.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 />The agreement with ( ( UlJ1 , No. Y�-O-' '7-057 <br />was completed on �� n� i O O , and final payment has been made. <br />Department. <br />Signature: <br />Date: <br />City of Santa Ana <br />Revised 8 -7 -03 Clerk of the Council <br />