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COMMUNITY SENIORSERV (2)
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COMMUNITY SENIORSERV (2)
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Last modified
12/1/2015 4:26:20 PM
Creation date
12/8/2009 10:25:42 AM
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Template:
Contracts
Company Name
COMMUNITY SENIORSERV
Contract #
A-2009-041-015
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/20/2009
Expiration Date
6/30/2010
Insurance Exp Date
7/1/2010
Destruction Year
2015
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6 City of Santa : a <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Please complete this form when the attached agreement is no longer in effect.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 647-6520 if you have any questions. <br />NOTE: PLEASE INCLUDE ALL AMENDMENTS IF ANY. THANK YOU. <br />The agreement with <br />No. - 14- zoo 9 -645— <br />and final payment has been made. <br />Re ,s 12W] T <br />was completed on G _?&5we <br />Department: <br />Phone/Ext.: <br />Signature: <br />f <br />Date: <br />fG <br />j..s <br />
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