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City of Santa A' <br />Clerk of the Council <br />AGREEMENT TERMINATION <br />^� 9 Pa 48 <br />Please complete this form when the attached agreement is no longer in effect.T <br />ANA <br />Return form to the Clerk of the Council Office (M-30).( c_,WA <br />Call 647-6520 if you have any questions. , n _ ub 3L ' <br />t: <br />The agreement with <br />No. A was completed on `'t'^" lA i 3�� <br />and final payment has been made. <br />arm:�a izmm <br />Department: oe" 0 it @ iJl I& <br />Phone/Ext.:Tj <br />Signature: <br />Date: <br />