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<br />I^ <br /> <br />} <br /> <br />. <br /> <br />AGREEMENT TERMINATION <br /> <br />Please complete this form when the attached agreement is no longer in effect. <br /> <br />Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have any <br />questions. <br /> <br />---- - --- ----- - -- - ---- - ---- - - -- - -- - - --- -- - -- -- -- - --- - -- ----------- <br /> <br />Theagreementwith~ ad. c'iv-ls CWJ 1J S.#. ,No.A-;)OO4-J16 <br />was completed on 9~ -; 0 - d J , and final payment has been made. <br /> <br />Department: ({).A - IV/ tJ /l("'~ <br />Signature: rlC.A,v '5U-rZ-1 <br /> <br />Date: e '-:;','Ol <br /> <br />City of Santa Ana <br />Revised 8- 7-03 Clerk of the Council <br />