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City of Santa / [ C 2004 <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Please complete this form when the attached agreement is no longer in effect.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). <br />Call 647 -6520 if you have any questions. <br />The agreement with any- <br />No. <br />N- 2008 - 109 -01 <br />and final payment has been made. <br />N- nos-coq <br />�,W 1M7� <br />..V <br />was completed on <br />Department <br />Phone /Ext.: �Cn "► • /t <br />Signature: <br />Date: <br />