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AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. ~~~ ~ ~ ~ ~. ~~ <br />Return form to the Deputy Clerk of the Council (M-30). Call 647-5238 if you have any questions. <br />CITY '. ,, ~~~~A <br />_________________________________________________________________~€t-= _-_ ~~~~~______ <br />The a reement with ~~ jj ,,}. ~i i /? <br />No. ~~ _ ~i~~S - V ~~ was completed on _~~ <br />and final payment has been made. <br />Department: (ya <br />n <br />Signature: ~~(~ ~~ <br />Date: ~-~ /~ ~ ; /r~l <br />City of Santa Ana <br />Clerk of the Council <br />Revised 05-22-08 <br />