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City of Santa A <br />Clerk of the Council <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Please complete this form when the attached agreement is no longer in effect _ 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).+ F <br />Ai A <br />Call 647-6520 if you have any questions. lk <br />The agreement with <br />No. * A-2008- /28 Co" 8) was completed on <br />RK and final payment has been made. <br />(,.2001-1®5-015 GoreC21, Department: G�A� <br /># A•]-401- tDs-o15-01 c2iq) <br />Phone/Ext.: 5--yg5- <br />Signature: a yce� <br />Date: <br />12mm <br />r <br />