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Lll ► 1 {I41NEW •► <br />Please complete this form when the attached agreement is no Ion g ineffect11 A:4 9- <br />Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have, <br />questions. C 16 i----------------------------------------------------------------- <br />The agreement with L-;,J No - <br />was completed one ' 1 ° % and final payment has been made. <br />Department <br />Signature <br />Date: <br />Revised 8-7-03 <br />City of Santa Ana <br />Clerk of the Council <br />