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City of Santa P -i <br />Clerk of the Coun...l <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. ACF 4121. Pm3:02 <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. <br />The agreement with VI C_ B <br />No. — aD O? —Oyip was completed on y 1 I <br />and final payment has been made. <br />qeivd c", &T �",O( <br />Revised 12-07-07 <br />Department: <br />Phone/Ext.: <br />Signature:�� <br />Date: <br />