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City of Santa t a <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />2020''Cg —6j <br />Prr <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. C'L�P4 5�ird la RMq <br />Return form to the Clerk of the Council Office (M-30). of ��bC« I <br />Call 647-� if you have any questions. <br />(oSZD �1 1_ <br />The agreement with Q �110%1�1.L�A `J S(� IJY�Mj 1,3• <br />No. j�`,.i^(� W� was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) + <br />Department: F> -t-% L: <br />Phone/Ext.:i2 <br />Signature: k) �Ck-C Lk ✓Cl <br />Date: f <br />Revised 04-12-10 <br />