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FZ � City of Santa I ' 3 0 201& <br />Clerk of the COUhCil <br />AGREEMENT TERMINATION FQRM,- <br />----------------- - - ................. . . I ................. . - - - --------- <br />COTC Office Use only <br />P 5, C4 <br />Please complete this form when the attached agreement 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amendments (if any) are no longer in effect.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 647-2520 if you have any questions. <br />The agreement with <br />No. N- 2010 -076 (3) core was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />A K-Ulo-M-001 (3h) <br />Revised 0472-10 <br />Deportment: �U4- <br />Phone/Ext.: <br />Signature: <br />Date: 15 -M <br />