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City of Santa Ark <br />Clerk of the Councii <br />_= AGREEMENT TERMINATION <br />2W MAR -2 M 9= 2$ <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Please complete this form when the attached agreement is no longer in effect.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 />Call 647-5237 if you have any questions. <br />The agreement with <br />C Le - <br />No. / j r % was completed on <br />and final payment has been made. <br />t� *,,ze- 40 <br />Revised 07-23-07 l ^ o` — / J,5 <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />