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City of Santa A-3 <br />Clerk of the Courr-.i <br />AGREEMENT TERMINATION <br />V7 M <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Please complete this form when the attached agreement is no longer in effect.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). r <br />Call 647-6520 if you have any questions. t = <br />' U <br />------------------------------------------------------------------------------------------ <br />--------------------------------------------------- -------------------------------------- <br />The agreement with & <br />No. tt 5-1c, was completed on <br />� �� <br />and final payment has been made.rl�j <br />Department: <br />Phone/Ext.: Id <br />Signature: <br />Date: 113a// <br />Revised 12-07-07 <br />