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City of Santa "-ia <br />. ' Clerk of the COL, .vll <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no loagr Imo. fit.fi 9 28 <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-5237 if you have any questions. <br />The agreement with C <br />No.� ( %l)'U was completed on 30 Q� <br />and final payment has been made: <br />Department: CSP4 <br />G�-C GZ <br />4) <br />Revised 07-23-07 <br />/f' -o�o-1g5 <br />C200� ✓ <br />Phone/Ext.: <br />Signature: <br />�1 <br />Date: <br />