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~:~,~ <br />AGREEMENT TERMINATION <br />,~, a<<n <br />-.~ ~~, ~; CMG <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Please complete this form when the attached agreement is no longer in effect.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). Ca11647-5238 if `you have any <br />questions. <br />The agreement with !,(~Yt,(~,Lc~ y~ , No.~'~~~-D~~ <br />was completed on '~ k~~ ~~ ~ ,and final payment has been made. <br />Department: ~, ~ ~` C ~'~.-'x <br />Signature: ~ r '~~~, ~~.~.-~ C~!~ <br />Date: _ C~.' ~ ~~-' <br />Revised 3-2-07 <br />City of Santa Ana <br />Clerk of the Council <br />