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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Please complete this form when the attached agreement is no longer in effect.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). Ca11647-6520 if you have any <br />questions. <br />The agreement with ~}!~ ~ C~~~~,~~,y` <br />was completed on ,-'/ g-- ~[~ <br />and find payment has been made. <br />Department: <br />Signature: <br />Date: <br />Revised 4-16-87 City of Santa Ana <br />Clerk of the Council <br />