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City of Santa ? i <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 Please complete this form when the attached agreement is no longer in effect.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. tag <br /> The agreement with �Ul <br /> No. - A-, 1 D" O O-O\ was completed on a [ I <br /> and final payment has been made. Q P <br /> Department: <br /> ( <br /> Phone/Ext.: X 2 \ <br /> Signature: <br /> Date: Z\ 13 �1 <br /> Revised 12-07.07 <br />