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P� <br />City of Santa P ''-- <br />Clerk of the Cou ,mil <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amendments (if any) are no longer in effect.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 �b;�� floicuYL`t 1i tom'- 'VI () n-� <br />n <br />r, 2jgji <br />No, Aj-' 00 j was completed on i 14' and final payment has been made. <br />(List all amendments. Use space below if needed, <br />kiTj # h 403-I1! (Iqi <br />o o -ooi ir LII) * h-,jaoy-igltN) <br />rao 1— is (lh) � h (jo) <br />-aoia—ff-- (p (I,)A A-xol-Mk4) <br />P7gG>1'72- 10C) (iJ),� A-2w)jo o <br />t <br />Department: s T"5 <br />Phona/Ext.: 5-3 <br />Signature: <br />Date: �� �i <br />