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City of Santa Ara <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM -.--------•-- <br />rj € _r,,OTgofficeUse Only <br />y€ a € <br />Please complete this form when the attached agreement and allaft <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amendments (if any) are no longer in effect.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 />No. A - 7-Q(( " 2-ab was completed on <br />(List all amendments. Use space below if needed.) <br />7 and final payment has been made. <br />I <br />Department: Wt1 <br />Phone/Ext.: �� <br />Signature: / <br />Date; /Z/7f /l <br />Revised 0&-23 70 <br />