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City of Santa P- -i <br />Clerk.»f the Couiri ;d <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Please complete this form when the attached agreement is no longer in effect 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. <br />The agreement with <br />/ic.z sfo�ei / �l7.e <br />No. QYI-007 was completed on <br />and final payment has been made. <br />Revised 07-23-07 <br />Department: <br />s�®OI G <br />t;'64 <br />Phone/Ext.: <br />Signature: <br />Date: <br />