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City of Santa ~4na <br />Clerk of the Council <br />AGREEMENT TERMINATION <br />~mn ~~~r -3 ~~ ~~~ 1 ~ <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Please complete this form when the attached agreement is no longer in effect.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). , ~, <br />Call647-2520 if you have any questions. (-' ~ , F <br />------------------------------------------------------------------------------------------ <br />------------------------------------------------------------------------------------------ <br />The agreement with C r~ c ~, 5 ~T % C- <br />and final payment has been made. <br />was completed on <br />Department: <br />Phone/Ext.: <br />-~ <br />~: <br />~,_ ~ ~`L- <br />S-~7Y/ <br />Signature: ,~ Cc _- C~.% _ ~ _- <br />.~ - - / <br />Date: 7 ~~ ~ / ~ ~ ~ `/ <br />Revised 05-04-08 <br />