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City of Santa An <br />Clerk of the Counc <br />AGREEMENT TERMINATION 1� <br />7T? c,`? I o, ECM '1 55 Q <br />Please complete this form when the attached agreement is noToni ger n effect. <br />Return form to the Clerk of the Coun(;rll ficeJ-M-30) <br />Call 647-5268 if you have any questions r \� <br />r <br />The agreement with <br />No. R- � DQq _ i 3g `Lylt � �t� was completed on Q4 )fl0", <br />and final payment has been made. <br />Department: <br />Phone/Ext.: <br />Revised 07-23-07 <br />