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CityAna <br /> AT -:40 c:f Santa <br /> `; 1- Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> COTC Office Use Only j <br /> �ai �� } <br /> Please complete this form when the attached agreement and all <br /> amendments (if any) are no longer in effect. P 2 Return form to the Clerk of the Council Office (M-30). CITY OF SANTA API, <br /> t, <br /> CLERK OF Cf)1Thn <br /> Call 647-6520 if you have any questions. <br /> The agreement with <br /> No. N-2011-120 <br /> was completed on (6, <br /> 1- (list all amendments. Use spa a below if needed.) 02© and final payment has been made. <br /> 'A WM11-126-061 /� <br /> Department: I 2(1261,; We <br /> Phone/Ext.: 5 <br /> Signature: <br /> Date: <br /> Revised 08-23-10 <br />