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�2 <br />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Please complete this form when the attached agreement is no longer in effect.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 647-6520 if you have any <br />questions. <br />-------------------------------------------------- ------ <br />The agreement with ValA cl jQ �Qc1� — 6�3 � t` / Gft <br />was completed on //t000 LV �_, and final payment has been made. <br />R - 200 3 - 213 (IQ) <br />Department <br />Signature: <br />Date: <br />Revised 4-16-87 <br />City of Santa Ana <br />Clerk of the Council <br />I/ <br />