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AGREEMENT TERMINATION <br />~tA ~, <br />Please complete this form when the attached agreement is no longer in effect. <br />. , .~ <br />~' _ .. <br />Return form to the Deputy Clerk of the Council (M-30). Call 647-5237 ~~~au have any c}ues,~ix~ns: <br />" The agreement with <br />No. /!' ~ ~(~ ~=~~C~ was completed on ~ ~C~ ; <br />and final payment has been made. !~ <br />Department: '.1 ~': <br />~y, <br />Signature: ~,~ ~~ ~.1~ / 1 <br />Date: ~ ~ ~ "1 ' ~~~ <br />City of Santa Ana <br />Revised 08-28-06 Clerk of the Council <br />