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City of Santa is <br />Clerk of the Council <br />r <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agree Invent 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amendments (if any) are no longer in effect.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-� iif you have any questions. <br />The agreement with <br />COTC Office Use Only <br />A ANA <br />No. /' fA -aC—) 0I I3q-G (was completed on �` �� - and final payment has been made. <br />(List all amendments. Use space below if needed.)', <br />Department: U22Jt'r <br />Phone/Ext.: 5 J-7 Q (� <br />Signature: <br />Date: <br />Revised 0412-10 <br />