Laserfiche WebLink
City of Santa w na <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />?'20 FF <br />-6 F11 I. ?9 <br />Please complete this form when the attached agreement and all CITY Q <br />amendments (if any) are no longer in effect. t I �`"f'+rA ANA <br />CL~n{F <br />COUNCIL <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-2520 if you have any questions. <br />The agreement with Ci \"1'Q! ✓\� nn 1111 t �t k� Y(( NA.A <br />No. (-') - —ij V,,=- G-)-�'wos completed on <br />(List all amendments. Use space below if needed.) <br />313 I I 1� and final payment has been made. <br />Department: T gk,�,-V" if f (,. , bi'c ?'y <br />� <br />Phone/Ext.: 5 ( r�J <br />Signature: } �-�Gj-�� n��1 1�, ),Q Vcr\,o <br />Date: ��=`f..� (cz c <br />Revised 04-12-10 <br />