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City of Santa~a <br />-~' Clerk of the Co it <br />i.._ ~ <br />AGREEMENT TERMINATION <br />?` ~ ^, ~n ~, • x, <br />- ; t', ~ ~,~ ~. -. <br />.S d <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 />------------------------------------------------------ <br />The a reement with ~ ' <br /> <br />'a s.t <br />f <br />j~ <br />------------------------------------ <br />------------------------------------ <br />A-2007-105-042 v <br />No. was completed on ~ ~ a ~ ~ <br />and final payment has been made. ~ n <br />Department: o~ ~l <br />Phone/Ext.: 1C-53~ <br />Signature: <br />Date: ~I' $ I a ~ <br />Revised 07-23-07 <br />