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City of Santa A- i <br />Clerk of the Coun,v,i <br />AGREEMENT TERMINATION <br />29 <br />Please complete this form when the attached agreement is no longer in effect. .: 4$ <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. � �TA A MA <br />CL.�F€� r <br />The agreement with <br />No. f-rDZi7-0-95z0 % was completed on f <br />and final payment has been made. <br />Revised 12-07-07 <br />PODepartment: ViL� f 9'V7 e <br />Phone/Ext.:� <br />Signature: <br />Date: <br />Q IZ( 11J <br />