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City of Santa 1"ra <br />Clerk of the Cou"�N <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-5268 if you have any questions. The agreement with 11 tL'✓✓u 1 //✓ <br />No. gi-60Z- was completed on 16 <br />and final payment has been made. <br />Department: /4 <br />Phone/Ext.: S �ry5 <br />Signature: <br />Date: <br />Revised 07-23-07 <br />