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<br /> <br />City of Santa' ,a <br />Clerk of the coJrrcil <br /> <br />AGREEMENT TERMINATION <br /> <br />'-" <br /> <br />,:di',~ -) <br /> <br />[,11 9: 4; <br /> <br />Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-5237 if you have any questions. <br /> <br />'",L.:"-l <br /> <br />"A <br />' . \1\ <br />. .\eIL <br /> <br />~..' l ; <br />~., ' <br /> <br />========================================================================================== <br /> <br />Theagreementwith ~.I~,if ~M/vJ///lJj....~ (cX4- ,-Z.Jk.J ~,~~ <br /> <br />No. A--oXJO?-IOS'O/t was completed on C\ ~ La I ),aC)~ <br />""- <br />Department ~~~.Cl~~ <br />XS3fl ~ <br /> <br />~U~~~~ <br />G / '-/ ~O_ _ <br />, <br /> <br />and final payment has been made. <br /> <br />Phone/Ext. : <br /> <br />Signature: <br /> <br />Date: <br /> <br />R8Yised07.23-07 <br />