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s✓ <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Please complete this form when the attached agreement is no longer in effect.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 />The agreement with Joil CV I QM ,®%D sE Gk , No.A - �?oo4 -!4 <br />was completed on , and final payment has been made. <br />(}Z A - 31003 -,c�s- Department: C <br />U <br />Signature: n_� V f <br />1 Date: <br />City of Santa Ana <br />Revised 8 -7 -03 Clerk of the Council <br />