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City of Santa P -*a <br />Clerk of the Cot ...,il <br />AGREEMENT TERMINATION <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Please complete this form when the attached agreement is no longer in effect.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 647-6520 if you have any questions. <br />The agreement with <br />Pi t q y? ^ 3 �l J <br />No. A - 2-0O4 -O y5 was completed on (O 1 201 p 5 <br />and final payment has been made. <br />Revised 12-07-07 <br />Department: C- D <br />Phone/Ext.: <br />Signature: <br />Date: <br />