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City of Santa t c 2,0IC 1 <br /> Clerk of the Council 5 <br /> i <br /> AGREEMENT i <br /> TERMINATION FORM <br /> COTC Office Use Only <br /> 71115 AT, II pi IFoRi1 a;T, <br /> Please complete this form when the attached agreement and all <br /> amendments (if any) are no longer in effect. CITY OF Spa 4 i t f tit, j' a4 <br /> Return form to the Clerk of the Council Office (M-30). " <br /> Call 647-6520 if you have any questions_ <br /> �1 The agreement with a-f v^.41 C°1AS <br /> p �O a was completed on g-4 ' l reh <br /> No. N-c��`� and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> 4( a ,..4-A 0......t. `.m.S..,t "-`_. Department: c 6-CC- <br /> aid, CY\ Y 'f aCQLt , Phone/Ext.: .- to 5 0 y, �' <br /> U Signature: U t� 4 ' cyry <br /> Date: a 4 5' �J <br /> Revised 08-23-1O <br />