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City of Santa na <br />". Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect.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 />The agreement with <br />N-2009-132-001 <br />(List all <br />Revised 0&-23 10 <br />czo) <br />')T <br />CLERK C,� <br />was completed on -r=- and final payment has been made. <br />space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />