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~ X2005 v~ <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have any <br />questions. <br />------------------------- <br />~` LCD, ~ z C~l~- , No. <br />i The agreement with <br />k _ <br />was completed on `, 1)(~~~ u ,and final payment has been made. <br />r <br />Department: ~ ~ }~ `~ <br />~; ~ <br />Signature: L' l ~ ~ "--- ~ ~ ---I~ <br />Date: <br />Revised 8-7-03 <br />City of Santa Ana <br />Clerk of the Council <br />