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City of Santa A -_a <br />:w <br />Clerk of the Gouti�d <br />AGREEMENT TERMINATION <br />6. <br />211p. -UN 22 M 4- 04 <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Please complete this form when the attached agreement is no longer in effect.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). rANA <br />Call 647-6520 if you have any questions. � � ,� P,IL <br />NOTE: PLEASE INCLUDE ALL AMENDMENTS IF ANY. THANK YOU. CAN,, <br />The agreement with <br />y {p J <br />No.was completed on Do [:�ot�2 <br />and final payment has been made.�1���'f BC/a fi` <br />Department: 1 jn I t <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 12-07-07 <br />