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<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Please complete this form when the attached agreement is no longer in effect.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 />The agreement with <br /> <br /> <br />lLUrU <br /> <br />, No.,4-olO05-3/() --10 <br /> <br />was completed on <br /> <br />, and final payment has been made. <br /> <br /><:) <br />- tr\ <br /> <br />0.. <br /> <br /><( <br />2:~ <br /><CU <br />~,'f;lJ' <br />"::',.C=S <br /> <br />Department: <br /> <br />- <br />"""- <br />-= <br /> <br />Signature: <br /> <br />/~/ , <br />/oLIL-{;, <br />/.{_(/LA.-- ~ '- JiJ ~ <br />-W~~5 <br /> <br />C'.J <br />I <br /> <br />Date: <br /> <br />:>- <br /> <br />c"~ ;.".... Lt, .~ <br /> <br />Revisjij 8- ~ <br />u~ <br /> <br />City of Santa Ana <br />Clerk of the Council <br /> <br />