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City of Santa Awa <br />Clerk of the Cou..,:il <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />bi <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 />G2�lr <br />COTC Office Use Only <br />NoN-2010-043-002 (160 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N -2b10-043 core (0 <br />�N_z�ia-o43-001 (b� <br />Revised 08-23-10 <br />Department: <br />Phone/Ext.: -Tw�iG - 1-1= - 51{(59 <br />Signature: juy <br />Date:jI <br />