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City of Santa " is <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amendments (if any) are no longer in effect.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 />COTC Office Use Only <br />)s6 <br />The agreement with j' (f /? <br />No. -�l�l' J7 2 -O 2 was completed on O �0'r2 and final payment has been made. <br />( (List all amendments. Use space below if needed.) <br />Department: C 04 <br />Phone /Ext.: <br />Signature: <br />Date: <br />Revised 0& -2370 <br />