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City of Santa A -a CD <br />Clerk of the Conry.-il <br />AGREEMENT TERMINATION J <br />w✓11� <br />,fy t_ I I ns? l: L <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Please complete this form when the attached agreement is no longer in effect.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. X13 i, <br />C; <br />------------- <br />The agreement with <br />No. A-2008- 00 -43 was completed on <br />and final payment has been made. <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 12-07-07 <br />-2 <br />