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City of Santa <br />Clerk of the Coul-W 41 <br />AGREEMENT TERMINATION <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Please complete this form when the attached agreement is no longer in effect.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 />The agreement with _ / /,a, r- _ I <br />No. A-2008- M-33 / <br />was completed on G% - <br />and final payment has been made. <br />Department: <br />Phone/Ext.: <br />Signature.- <br />Date: <br />ignature:Date: z <br />Revised 12-07-07 <br />