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G 2 D17�" 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Please complete this form when the attached agreement is no longer in effect.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 />The agreement with 6 %% tk �Q�(,Y.QR. No_,4— -7" ogq-g3 <br />was completed on a { i7. O O ; and final payment has been made. <br />Department: <br />Signature: C„_ <br />Date: $ 10 / p <br />Revised 8-7-03 <br />City of Santa Ana <br />Clerk of the Council <br />-7� z <br />