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1 t.11�/ VI J�1111U /"►IIa1 <br /> �- Clerk of the Council COTC Office Use Only <br /> AGREEMENT TERMir..ATION FORM <br /> Please complete this form when the attached agreement and all <br /> amendments (if any) are no longer in effect. 2o7 , <br /> Note: If your agreement is grant related,please ensure that all grant retention requirements 3' 1 8have been satisfied prior to signing the termination form. CITY 0 S rti <br /> CLERK 1O;=',Cr� TA DNA <br /> Return form to the Clerk of the Council Office (M-30). )�f �(L <br /> Call 647-1520 if you have any questions. <br /> The agreement with -17\i O`? €`(i\c&' S PO(k& cc \\ACk 11r1 -e-1/ a £,, 4-nQ' <br /> No. 14- 30C1 LC% was completed on 10 I and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> - p / Yp,� <br /> �.;t--� C '�-��fi' �1' l Department: � ��i� <br /> Phone/Ext.: Sa_ ' <br /> Signature: is)..: �( l ' ^ �.14� <br /> Date: 4,.AD-{) <br /> Revised:01-07-16 <br />