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-._. City of Santa " ia C20IS <br /> �a,�= Clerk of the Council <br /> ""'; AGREEMENT TERMINATION FORM <br /> COTC Office Use Only <br /> Please complete this form when the attached agreement and all <br /> amendments (if any) are no longer in effect. CITY OF ;: t ;,'‘, ', E?j, <br /> 1 j <br /> CLEF: . <br /> Return form to the Clerk of the Council Office (M-30). <br /> Call 647-6520 if you have any questions. <br /> The agreement with Animal Discount Clinic <br /> No. A-2001-299 was completed on 7-1-2015 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> A-2001-299-01 Department: Police Department <br /> Phone/Ext.: (714) 245-8004 , <br /> Signature: r: C , � J <br /> Date: 7/24/2015 <br /> Revised 08-23-10 <br />