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City of Santa A� <br />Clerk of the Council 40 <br />AGREEMENT TERMINATION <br />1,2 <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Please complete this form when the attached agreement is no longer in effect.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 647-6520 if you have any questions. <br />----------- <br />The agreement with <br />No. A-2008- 069- 5,5- was completed on< - <br />and final payment has been made. <br />Department: i)r/ <br />Phone/Ext.: j 5' ���✓` <br />Signature: <br />Date: <br />Revised 12-07 07 <br />