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<br />'" <br /> <br />......... <br />'8 <br /> <br />City of Santa t"'a <br />Clerk of the Cou\...rll <br />AGREEMENT TERMINATION <br /> <br />....J. <br /> <br />'Ci - .n I 5 fJ1 9: QC <br /> <br />Please complete this form when the attached agreement is no longer <br />in effect. Return form to the Clerk of the Council Office (M-30). <br />Call 647-5237 if you have any questions. <br /> <br />s~ ': <br /> <br />. : ; ',I';. <br />":rdl <br />. vii.... <br /> <br />,.'-' <br />.;1 . <br /> <br />------------------------------------------------------------------------------------------ <br />------------------------------------------------------------------------------------------ <br /> <br />No. A-2007-105-028 <br /> <br />'0011/ ~O\1X1dahO(b 'sDk:9 -hlt.MTJ <br /> <br />was completed on ~' (\ . ~ \ ~ I d 008 <br /> <br /> <br />Department: (! l'ML.nI' . ~h . ~. ~ <br />Phone/Ext.: S ::, 11 ~ <br /> <br />Signature: dJU~ ---\0 ~ <br />Date: -':;3' -, I, y (0& <br /> <br />The agreement with {) I C.-> <br /> <br />and final payment has been made. <br /> <br />Revised 07-23.07 <br />