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<br />. <br />~ <br /> <br />City of Santa(. ,'1a <br />Clerk of the Comlcil <br /> <br />AGREEMENT TERMINATION <br /> <br />-.,.,I <br /> <br />Please complete this form when the attached agreement is no longer <br />in effect. Return form to the Clerk of the Council Offioe (M-30). <br />Call 647-5237 if you have any questions. <br /> <br />1IDll Jill - 2 AM'<<]: 146 <br />CiTY 0:, T,~ ANA <br />CLEm~ 0:: COUNCIL <br /> <br />------------------------------------------------------------------------------------------ <br />------------------------------------------------------------------------------------------ <br /> <br />The agreement with Jr;wld;~ k;-*f OM'~ iliuJl (j);NlLUlA,. ,.JJA1l! . <br /> <br />No. /V-riDO? -o~'i was completed on .~ J tbO) 0 ~ <br />Department: f~ff }~ <br />~'" <br />Phone/Ex!.: .:::J <br /> <br />and final payment has been made. <br /> <br />Date: <br /> <br /> <br />Signature: <br /> <br />Revised 07-23-07 <br />