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City of Santa a <br />elerk of the CounGill <br />'AGREEMENT TERMINATION <br />Please complete this form,when the attached agreement is no longer in effect. / �/�&Tx <br />Return form tothe Clerk ofthe Council 0Oioo8N'30\ ��|| /| ' ^`�'�.�"°ii` <br />Call 647-6520 if you have any questions. <br />=—============== ------ <br />NOTE: PLEASE INCLUDE ALL AMENDMENTS0 <br />The agreement with <br />No. w/asounnp|otedVn <br />and final payment has been made. , <br />Department: <br />Phone/Ext.: <br />Signature: <br />� IM7W <br />6 <br />