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City of Santa P ''13 <br />Clerk of the Cour„ d <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect <br />Make sure to include all <br />amendments if any. <br />n! taka n <br />,N ¢' 0 <br />, <br />Return form to the Clerk of the Council Office (M-30). F r , ;,� <br />AA <br />Call 647-2520 if you have any questions. r k r { <br />The agreement withQkN25&CA <br />�� <br />} <br />No. j^s d`� - � was completed on � �I <br />and final payment has been made. <br />Revised 05-04-08 <br />Department: V�v r/ Q" iV�1 W� <br />Phone/Ext.: <br />Signature: <br />Date: <br />