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City of Santa A`-_, <br />Clerk of the Court <br />AGREEMENT TERMINATION <br />r, P'�1 <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Please complete this form when the attached agreement is no longer in effect 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).!A ANA <br />Call 647-6520 if you have any questions.* jd <br />------------ <br />NOTE: PLEASE INCLUDE ALL AMENDMENTS IF ANY. THANK YOU. �( <br />The agreement with <br />No. _ v Ms �i was completed on v� <br />and final payment has been made. <br />Revised 12-07-07 <br />Department: <br />Phone/Ext.: 2 <br />Signature: <br />Date: 16,0113 <br />