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City of Santa Aa <br />Clerk of the Couil <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• Please complete this form when the attached agreement is no longer in effect.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 />rJzf&O J, <br />j The agreement with <br />No. A-2008- 069 0 S <br />was completed on <br />and final payment has been made. Department <br />Phone/Ext.: ff�� <br />Signature: '=r' <br />Date: <br />Revised 12-07-07 <br />