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City of Santa An-- <br />Clerk of the Counci,. <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect <br />u- <br />. <br />cr <br />Return form to the Clerk of the Council Office (M -30). a <br />Call 647 -5268 if you have any questions. 4_ ark} <br />The agreement with <br />No. :.LOOg - 13 LIP was completed on { <br />and final payment has been made. <br />Revised 07 -23 -07 <br />Department: <br />—0014 Phone /Ext.: <br />Signature: <br />Date: <br />I <br />