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City of Santa An - <br />OClerk of the Coum . <br />AGREEMENT TERMINATION <br />L1117 00 10 i 2- 56 <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Please complete this form when the attached agreement is no longer in effect.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). j <br />Call 647-5268 if you have any questions. C.1 T Y Q N TAA <br />NA <br />� ER"_ <br />The agreement with <br />No. R' a0aq- 13�1 was comlpletedon �) <br />and final payment has been made. <br />Department: (�I� <br />Phone/Ext.: <br />Signature: } <br />Date: <br />Revised 07-23-07 <br />s <br />