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City of Santa ' a <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements <br />have been satisfied prior to signing the termination form. <br />Is the agreement(s) a permanent record? Yes No X <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-1520 if you have any questions. <br />COTC Office Use Only <br />OF THE COUNCIL <br />R 2'23 PA:25 <br />The agreement with LOS AWIFUCS, SMSA LIMI-TFO PAV-Tr4ftSlt110 016IA V7'12.ITOP4 <br />W Igms S <br />No. A - 2020- 0`f'+G C was completed on q 1 202Z and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Pil 0eq . EN 61. <br />Phone/Ext.: ti14 "03 <br />Signature: <br />Date: q. 02Z <br />agreementsfom,.saonn agreement termination form_goldenrod_doc <br />