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City of Santa Ar' <br />Clerk of the Council <br />AGREEMENT TERMINATION <br />WWI <br />- .A4 29 PH 149 <br />Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). CITY G '-SA" ?T A ANA <br />Call 647-6520 if you have any questions. CLERK OF - 1—iiNCIL <br />---------------- <br />The agreement with <br />No. /s-LiDD f-P-85'zc)—% was completed on 1"'arm <br />��� ✓v�o <br />and final payment has been made. <br />Department:{ <br />Phone/Ext.: J� <br />Signature: <br />Date: L( t <br />R.d 12VV <br />