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City of Santa 1' a <br />ivClerk of the Council <br />AGREEMENT TERMINATION <br />"t rr o r 6 n, <br />%= 15 <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 />The agreement with <br />No. A-2007-105-015 (21i <br />and final payment has been made. <br />Revised 07-23-07 <br />was completed on <br />Department: �o <br />Phone/Ext.:�> <br />Signature: yZf�a �lPivvG <br />Date:—�� !� <br />