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City of Santa A --j <br />Clerk of the Cour,-al <br />AGREEMENT TERMINATION <br />t;v -2 <br />Return form to the Clerk of the Council Office <br />Please complete this form when the attached agreement is no longer in effect.`04 <br />(M-30). . <br />Call 647-6520 if you have any questions. <br />JI <br />A HA <br />The agreement with <br />e �j�, , L%j �� AA t�✓ 6 °S <br />No. A-2008- v1 5 g W I�v <br />was completed on <br />and final payment has been made. <br />Department: U <br />Phone/Ext.- <br />Signature: V-3o/ <br />Date: fl D ; v <br />Revised 12-07-07 <br />