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City of Santa A <br />Clerk of the Cou <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Please complete this form when the attached agreement is no longer in effect.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 />---------------- <br />The agreement with <br />No. A-2008- C-; 6 % - 6' R was completed on <br />and final payment has been made. Department: <br />Phone/Ext.: <br />Signature <br />Date: <br />Revised 12-07-07 <br />