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City of Santa A i <br />r'�erk of the Council <br />P <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Please complete this form when the attached agreement is no longer in effect.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 />Call 647-6268 if you have any questions. <br />The agreement with <br />No. r"t ✓,�r(- Oaf( D�' was completed on <br />and final payment has been made. <br />Department: e5W <br />Phone/Ext.: -5 tlq <br />Signature:��%� <br />Date: <br />Revised 07-23-07 <br />