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City of Santa ~ • <br />Clerk of the Council <br />°>~._ AGREEMENT TERMINATION <br />,; ~, <br />Please complete this form when the attached agreement is no longer in effect y F . ,` <br />e µ :: i`i <br />Return form to the Clerk of the Council Office (M-30). ~ ' i <br />Call 647-6520 if you have any questions. ~;~, , :, . <br />___________________________________________G ----- <br />The agreement with " " <br />N ~ 0200 , © was completed on 0 <br />No. <br />and final payment has been made. <br />~eaa tz-m-o~ <br />Department <br />Phone/Ext.: ~~~~ <br />nature: <br />Sig <br />Date: <br />