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City of Santa Ar- -- <br />Sfi i <br />Clerk of the Coum- <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in eff ci- <br />Return form to the Clerk of the Council Office (M-30).� <br />Call 647-6520 if you have any questions. C <br />A HA <br />The agreement with <br />No. e`� Q�—�gj� Q�(� was completed on Much t if� �&M <br />and final payment has been made. <br />Revised 12-07-07 <br />Department: 411t' R/ <br />Phone/Ext.:z� <br />Signature: �r--r- <br />Date: q k, P t� <br />