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City of Santa; z <br />Clerk of the CoUOCIl <br />AGREEMENT TERMINATION <br />1. <br />0.- <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Please complete this form when the attached agreement is no longer in effect.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 />3a <br />The agreement with <br />No.was completed on <br />and final payment has been made. <br />Revised 07-23-07 <br />Department: � 4 <br />Phone/Ext.:�iLl <br />Signature:�2,YP�� <br />Date: fU t G <br />