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City o to Ana <br /> Clerk o, me Council <br /> AGREEMENT TERMINATION FORM COTC Office Use Only <br /> i k <br /> 26 <br /> Please complete this form when the attached agreement arpcl all✓ r <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 amendments (if any) are no longer in effect.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 /> 1 <br /> ,n <br /> The agreement with A{}7.L�a S" <br /> erC <br /> No. f`/ 1 (A-- �'� was completed on '� °/ ' and final payment has been made. <br /> (List all amendments. Use space below if needed.) — PES/ <br /> — t1lS -0 ? (/, c•- 71( '// -° Department: PO4- 677 KJ <br /> Phone/Ext.: <br /> ;it6) <br /> Signature: <br /> Date: '�frill 13 <br /> Revised 08-23-10 <br />