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AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect [ <br />Return form to the Deputy Clerk of the Council (M -30). Call 647 -5238 if you have any questions <br />The agreement with J)-L1:2— <br />No. * A .,� oc)g, - was completed on LP1 sat 0y <br />and final payment has been made. <br />AZ <br />Department: t'c1 <br />V EJ���Ig� Signature:, <br />N-- W10 -In CiO Date: Ta /' -7/0'7 Li <br />City of Santa Ana <br />Clerk of the Council <br />Revised 05 -22 -08 <br />