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AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. <br />~~~ , ~ ~ ;~ <br />Return form to the Deputy Clerk of the Council (M-30). Call 647-5238 if you have an P <br />t~~i t: <br />y questions. <br />---------------------------------- <br />----- <br />The agreement with ---- <br />No. ~ - a~~ - ~ D ~ r~ 1 <br />was completed on (p ~j0 0 <br />and final payment has been made. <br />Department: <br />Signature: <br />Date: <br />City of Santa Ana <br />Clerk of the Council <br />Revised 05-22-08 <br />