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<br />Please complete this form when the attached agreement is no longer in'leffelltl - 3 AM 8: ~ S <br />Return form to the Sr. Deputy Clerk ofthe Council (M-30). Call647~l2l3~!ifyou have ~\~A <br />questions. Clt.""vlL <br /> <br />AGREEMENT TERMINATION <br /> <br />- - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- <br /> <br />The agreem~~ J')t1 ~ ,f, (.s ? .Ir'C.- ' No.jl- afJDl.c- .;J.55 <br />was,~ on 4 D' I O/) J DB. and final payment has been made. <br />""p,,,=,,~"'~"S 11w)' <br /> <br />Slgnature:~, -~~ <br /> <br />Date: /o,/zIOIJ <br />(Gee ",--ffz>-..~wt ..J.zVJ1l);r\.,!ivY'l. (",ff-0 <br /> <br />City of Santa Ana <br />Clerk of the Council <br /> <br />Revised 8-7-03 <br />