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City of Santa V i <br />Clerk of the CouR�,l <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Please complete this form when the attached agreement is no longer in effect.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). A <br />Call 647-5268 if you have any questions: <br />The agreement with <br />z <br />No. /i .Z49'r'/, ®Yf -eo was completed on 3D j <br />and final payment has been made. <br />Revised 07-23-07 <br />Department: GDl/ <br />Phone/Ext.: s-V V <br />Signature: <br />Date: <br />