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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 Please complete this form when the attached agreement is no longer in effect.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 li-p k aptez., U �► D2, <br /> No. A - 00 - 23, was completed on e-- r :30 I I C3 <br /> and final payment has been made. <br /> Department: CO P <br /> Signature: Co - - Os- <br /> Date: <br /> City of Santa Ana <br /> Clerk of the Council <br /> Revised 05-22-08 <br />