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City of Santa a <br />`~ Clerk of the Co ~ it <br />~~~~~~ <br />~~ <br />AGREEMENT TERMINATION <br />~'~ ~`" - f ~ ~" 9~ S9 <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Please complete this form when the attached agreement is no longer in effect.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 />I <br />The agreement with ~ ~\ C. S --'1 <br /> <br />and final payment has been made. <br />was completed on h --~ ~ ~ C <br />Department: ~v~--w~.~.- ~ ~ <br />-7 C~ <br />Phone/Ext.: 3 <br />Signature: v c_. <br />Date: ~ ~ ~ ~ O ~_ <br />Revised D7-23-07 <br />