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City of Santa A ___ <br />Clerk of the Court,... <br />AGREEMENT TERMINATION [ <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Please complete this form when the attached agreement is no longer In effect 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)., ; <br />s.6 { <br />Call 647-5268 if you have any questions. � I. jIL <br />f# <br />---------------------------------------------------------------------------------- <br />The agreement with <br />No. aD aq — (3 3 C� Ca, was completed on Q4) / So (� <br />e <br />and final payment has been made. <br />b IN <br />A- 1.011 214 i2o) <br />f" A - toll - 2-1q-o1 ('A) <br />Revised 07-23-07 <br />Department: 1b Pt <br />Phone/Ext.: X S3-7z <br />Signature:- PA'cam <br />Dater <br />