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Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all 2015 ,.IUN 23 <br />amendments (if any) are no longer in effect. <br />14: 21 <br />ciao O�9�t"sf, <br />Return form to the Clerk of the Council Office (M-30). C L ER <br />Call 647-6520 if you have any questions. <br />The agreement with yA S O(-,Po ca 6MCc(A,s <br />No. = ,) g - j oo c»L 0 was completed on 2 3 and final payment has been made. <br />(List all amendments. Use space below if needed.) n <br />f � - nub - 141 CIO <br />Revised 08-23-10 <br />Department: Yj f"S <br />Phone/Ext.: 02 <br />Signature: <br />Date: <br />