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City of Santa V i <br />Clerk of the Cour.vil <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Please complete this form when the attached agreement is no longer in effect.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 TP Mh `TALC' M <br />No. -k A6C)9 i9y N was <br />Ile <br />2nd fi payment has been made. <br />R 2003-Izs 0) core <br />k tl- X04 -062 (IQ) <br />+ A-2003-17-S-0106) <br />A•2003 -179-07-C10 <br />� N- 2004 • ob2-01 f !d) <br />+F N-7ouj-ob2.01(le) <br />� N-zOo.�-861-03 Cl-F') <br />Revised 12-07-07 <br />Department: <br />N'100`f'O62 0� C19, Phone/Ext.: <br />*0-104-ebz-05(1h) <br />on T61;�0110 . <br />am `:1MK& iF— <br />Signature: <br />Date: <br />