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City of Santa P--i <br />Clerk of the Coun< d <br />AGREEMENT TERMINATION <br />2MY:.' -2 AN 9. <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Please complete this form when the attached agreement is no longer in effect.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 />---------------------------------j--h-----Von <br />------------------ <br />The agreement with - <br />No. l ?' t / was and final payment has been made. v J <br />Department:5 <br />J urn �p�yy v Phone/Ext.:�o <br />Signature: <br />Lu <br />l Date: - -,)- (� <br />Revised 07-23-07 <br />