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City of Santa A 7 <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC 01 <br />20i9 JUL I T—PW 30—t+7 <br />Please complete this form when the attached agreement and all CITY OF SANTA AMA <br />amendments (if any) are no longer in effect. CLERK OF COUNCIL <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 />Use Only <br />2019 Jut 19 <br />CITY 0SAN <br />CLERKOF C <br />No. N-2011-036 was completed on 191,61111 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />IJ~aG\�- DbIP-®DI <br />Q — a-O \ \ _ 016 Le CSC. <br />Revised 08-23-10 <br />Department: n.0-sik <br />Phone/Ext.: <br />Signature: I I /pil/C1�7 <br />Date: ig <br />