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MI <br />t/ <br />AGREEMENT TERMINATION <br />p' <br />f <br />Please complete this form when the attached agreement is no longer in effect. <br />r °- <br />Return form to the Sr. Deputy Clerk of the Council (M -30). Ca11647 -5038 if c hays y '. <br />questions. <br />The agreement with `, y-( Le_-, , No. !) - C-3cm--ol 5 -0I <br />A <br />z was completed on 1(� l �i _ and final payment has been made. <br />N An _01S care 19 <br />Department: <br /># N-2UOl-o1s -02 _ <br />2-001-015 -03 Signature: <br />-a¢ <br />Date: <br />7f N - 1001-015 -6. <br />City of Santa Ana <br />Revised 3 -2 -07 Clerk of the Council <br />