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F City of Santa. ja <br />ar Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. <br />I COTC Office Use Only <br />j)j _i :fie <br />CITY OT S � r <br />The agreement with S iP hC POp �ics i erl1�P ��a rZ l�g� �ot p <br />No. 4-Za03- rst was completed on 6)kfzTy and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: \0614 <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 08-23-10 <br />