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City of Santa , .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amendments (if any) are no longer in effect.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 647-6520 if you have any questions. <br />The agreement with 'PALALUQ-, rrl is f L! I <br />NoA A-IDDS-VY-01 Nas completed on <br />(List all amendments. Use space below if needed.) <br />4 A . Q-U 131 U C zb) <br />COTC Office Use Only <br />SA <br />,F ity <br />and final payment has been made. <br />Department: Fq/q— <br />Phone/Ext.: / <br />Signature: <br />Date: <br />Revised 08-23-10 <br />