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2013 / <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. <br />CITY OFq6 va ,�� <br />Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5231% i Have ar,` % , <br />questions. <br />The agreement with bogy e)j—t3S . Lt.( No. 1t—�"� ) Cl9) <br />was completed on and final payment has been made. <br />Ax A- t) hole Department: P"//<- <br />Signature: <br />am=✓/<Signature: <br />Date: <br />City of Santa Ana <br />Revised 8-7-03 Clerk of the Council <br />