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c 200�� <br />J <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer -in effect. <br />a7 <br />Return form to the Sr. Deputy Clerk of the Council (M -30). Cal 5 765238 if you havenAy <br />questions_ <br />---------- ------------ - - - - -- - - - - - -- - -- <br />The agreement with % i lGr 1 No. &I rte' . O-z <br />was completed on �d Vi!and final payment has been made. <br />Department: J` /'�c <br />Signature: <br />Date: IY// �ll7e <br />City of Santa Revised 8 -7 -03 Clerk of the C Iouncil <br />