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City of Santa . is <br />Clerk of the Council <br />U—t <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amendments (if any) are no longer in effect.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 />The agreement with <br />COTC Office Use Only <br />'F i5 l(nl 91 n} . 27 <br />CLERK OFIC0 <br />No. y4 -2(bi= ZS7C0I) was completed on 6 150170Cand final payment has been made. <br />(List all amendments. Use space below if needed.) Q <br />Department: ` (�) y6t <br />Phone/Ext.: Z <br />Signature:y l <br />Date: <br />Revised 08-23-10 <br />