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City of Santa A a <br />Clerk of the Couacil <br />AGREEMENT TERMINATION <br />Make sure to include all <br />amendments if any. <br />Please complete this form when the attached agreement is no longer in effect <br />h CI k f th C 'I Office (M-30) <br />Return form tot a er o e ounce <br />Call 647-2520 if you have any questions. <br />The agreement with l 11 e fle ll a (few , r <br />No. r4-z6o4--,-- <br />and final payment has been made. <br />Revised 05-04-08 <br />was completed on <br />Deoartment: ef /l), - <br />/I_3c�-f <br />Phone/Ext.: <br />Signature: <br />Date: /d ffi <br />