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~J <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Please complete this form when the attached agreement is no longer in effect 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 i~you have any <br />questions. <br />----------------------------------------------------------------- <br />The agreement with (,~, , No. ~~~~-'~-l7 <br />was completed on ~~p ~ ,and final payment has been made. <br />Department ~t-/~ <br />Signature: ~ -~ <br />Date: ~ ~Q 7 <br />i <br />,~~ 2 <br />j: <br /> <br />City of Santa Ana <br />Revised 8-7-03 Clerk of the Council <br />