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City of Santa: -.da <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />201 <br />Please complete this form when the attached agreement and ui+ fid, <br />amendments (if any) are no longer in effect. i ER;i OF 4 <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�eilli�A3ytt.li�9Z �7J(TIN�32ta`l� ° ��/A�}ist%v7 <br />Office Use Only <br />No. A—7,,)Io -077-0 ( (94) was completed on 6 e and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: �f W94 4%lvy"' <br />Phone/Ext.: 3 <br />Signature: <br />Date: <br />Revised 08-23-10 <br />