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C'. -() [ <br /> „. City of Santa E...a f <br /> a <br /> m Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> 7?(5 is!!_ 27 I AM Od Office Use Only .._. <br /> Please complete this form when the attached agreement and aiP . , , •,,. i <br /> amendments (if any) are no longer in effect. �r `�` `1' ' <br /> Return form to the Clerk of the Council Office (M-30). i <br /> Call 647-6520 if you have any questions. <br /> The agreement with Adlerhorst <br /> No. A-2002-204 was completed on 7/1/2015 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> A-2001-204 <br /> A-2000-145 Department: Police Department <br /> Phone/Ext.: (714)245-8004 <br /> N-77 / <br /> Signature: kt / ,_./ <br /> Date: 7/24/2015 <br /> Revised 08-23-10 <br />