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City of Santa A i <br />Clerk of the Council <br />AGREEMENT TERMINATION <br />7T NJ 15 AIN 9; 19 <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Please complete this form when the attached agreement is no longer in effect 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. 3 <br />L v <br />The agreement with <br />No. A was completed onJc,n,c Z.N <br />and final payment has been made. <br />Department: <br />Phone/Ext.: <br />t i <br />Signature: IZA I I <br />Date: <br />Rwsed 07- 5 <br />