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City of Santa. a <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all amendments (if any) <br />are no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />COTC Office Use Only <br />-. . ....................-....................... - .............. <br />` I,r ;i Pm . �?I <br />CITY OF c,y w -A AN.'A. <br />,R <br />CtEOFCU Nn r <br />The agreement with <br />No. N-2009-132 was completed on _fl�`_�_ 1_ and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N -26B9-52- 00) Department: <br />N - 2009 - 13 L - dpZ Phone/Ext.: <br />Signature: <br />Date: <br />Revised 07-22-09 <br />