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City of Santa Affa <br />Clerk of the Council' <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Please complete this form when the attached agreement is no longer in effect.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 647-5268 if you have any questions. <br />--------------------------------------J---------`- <br />The agreement with <br />No. A -2,oc) 9—cigj- 6®q was completed on <br />and final payment has been made. <br />Revised 07-23-07 <br />Department: (!:24 <br />Phone/Ext.: �YYS <br />Signature:T��/� <br />Date: <br />is <br />