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City of Santa Aag <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Please complete this form when the attached agreement is no longer in effect.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 />------------------------------------------------------------ <br />The agreement with rx lALf3/>0 , lam' i�iZ %IZZ ,��� <br />No. A-2008- 0,69 - C / was completed on <br />and final payment has been made. <br />Department: c: r )il <br />Phone/Ext.: � Y ,i <br />Signature: -/ <br />Date: . 2 LI< c c� <br />Revised 12-07-07 <br />------------------------ <br />------------------------ <br />Signature: -/ <br />Date: . 2 LI< c c� <br />Revised 12-07-07 <br />