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b <br />City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M -30). <br />Call 647 -6520 if you have any questions. <br />The agreement with Hiquera Jorge <br />No. N- 2002 -179 was completed on 6/30/03 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRCSA <br />Phone /Ext.: 5254 <br />Signature: <br />Date: <br />Revised 08 -2310 <br />El <br />C, CA <br />0'2001;' <br />f <br />- - - -. -. <br />- - --------- <br />COTC Office Use Only <br />No. N- 2002 -179 was completed on 6/30/03 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRCSA <br />Phone /Ext.: 5254 <br />Signature: <br />Date: <br />Revised 08 -2310 <br />El <br />C, CA <br />