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City of Santa f a <br />Clerk of the CouioJl <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Please complete this form when the attached agreement is no longer in effect.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 <br />U <br />No. - 90h& - V % 5- - 1 3 was completed on <br />and final payment has been made. <br />Revised 12-07-07 <br />Department:llo°�-j'"" a` <br />Phone/Ext.: �✓ 4 <br />Signature: <br />Date: <br />