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City of Santo, a <br />Clerk of the Council <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amendments (if any) are no longer in effect.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 />Return form to the Clerk of the Council Office (M-30). <br />Call 647-2= if you have any questions. <br />The agreement with <br />No. ')�'Q wl s completed on <br />(List all amendments. Use space below if needed.) <br />COTC Office Use Only <br />Nth <br />A <br />„ems <br />L%6jfJ �. and final payment has been made. <br />Department: 1-�)A <br />Phone/Ext.: �[ <br />Signature: <br />Date: <br />Revised 04-12-10 <br />