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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Please complete this form when the attached agreement is no longer in effect.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 X (�ye�� No.j�:�� <br />was completed on 114.� zi c a 00 Sand final payment has been made. <br />Department: Cer . <br />Signature: J <br />Date: <br />City of Santa Ana <br />Revised 8-7-03 Clerk of the Council <br />-7 <br />