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City of Santa A^a <br />Clerk of the Cout._A <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Please complete this form when the attached agreement is no longer in effect 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 647-5268 if you have any questions. <br />The agreement with <br />im <br />i <br />and final payment has been made. <br />Revised 07-23-07 <br />was completed on <br />r <br />_. ,'M <br />Department: M R/ Ma "C/nT <br />Phone/Ext.: U l /-" <br />Signature: <br />Date: t< . <br />