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G 213D1S <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effeet <br />Return form to the Sr. Deputy Clerk of the Council (M -30). Call 647 =5238 if-vou have_any <br />questions. <br />The agreement with ippV��'{MIJPU ZX Salk L No.Aj—a% 7—o,;0 <br />was completed on and final payment has been made. <br />Department: / <br />Signature: <br />Date: <br />Revised 8 -7 -03 <br />City of Santa Ana <br />Clerk of the Council <br />