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City of Santa . la <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />l <br />(il.�¢}P� <br />25 P i;, <br />� q: ll <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY 0 SA T F,2 t.V iq <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 L5y S y SSA (cT�S --17✓yC . <br />$ <br />No. 77po5- )?.q-oo `( !as completed on 6 30 Zol0 and final payment has been made. <br />sy (List all amendments. Use space below if needed.) <br />i AIM-7- 1 Z lam) C OM Department: d �� <br />Phone/Ext.: x <br />Signature: <br />Date: <br />Revised 0&23-10 <br />o/ <br />