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y` City of Santa. la <br />Clerk of the Council <br />} AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />'M" R`''"I 2 5 41: 2 Z <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY O 4; r A;± <br />CLEARX <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 />60 <br />No.t n-ZboR- IZo600),QQ2�- was completed on <br />(List all amendments. Use space below if needed.) <br />Revised 08-23-10 <br />3©l Z010 and final payment has been made. <br />Department: <br />Phone/Ext.: X <br />Signature: <br />Date: <br />V <br />