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City of Santa. is <br />'j Clerk of the Council <br />U AGREEMENT TERMINATION FORM <br />X0 JIUAIe 2� i'f <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY OF! g4jgj- <br />CLCR OF n <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 <br />I 0b) dcf <br />No. y- -2P — Oq 60-oo�) was completed on <br />(List all amendments. Use space below if needed.) <br />Revised 08-23-10 <br />COTC Office Use Only <br />' 4 <br />A <br />6/� I Zo% and final payment has been made. <br />Department <br />Phone/Ext.: <br />Signature: <br />Date: pj1JJJ/j <br />0 ✓ <br />