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City of Santa. fa <br />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amendments (if any) are no longer in effect.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 />The agreement with No. �fTI <br />A —0 L, was completed on <br />(List all amendments. Use space below if needed.) <br />* P--zip9-►b3 CIS <br />G2007 <br />COTC Office Use Only <br />ITYs0'{�� 1 = <br />fL pR.`G <br />and final payment has been made. <br />Department: I <br />Phone/Ext.: <br />Signature: <br />Date: 01 — I P r Is <br />I Ii <br />Revised 08-23-10 <br />