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City of Santa F -a <br />Clerk of the Cour,. it <br />AGREEMENT TERMINATION <br />.5 <br />Please complete this form when the attached agreement is no longer in effect. 4 <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-5268 if you have any questions. m A�q <br />IA <br />r..a .I. <br />� <br />I <br />The agreement withCA- <br />No. � �^ '_________________________ <br />was completed on <br />and final payment has been made. f1 g r fJ �T <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: 113D1/ 3 <br />Revised 07-23-07 <br />