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City of Santa na G z�t2 <br />— " Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. MY ISPJNA ANA <br />Return form to the Clerk of the Council Office (M-30). <br />GLr f tu, U N CIL <br />Call 647-6520 if you have any questions. <br />The agreement with CJLY%f lel in�n/Yi✓? n <br />-2012-050 � :2ola _ <br />No. NC�� Cti�'. was completed on f( /�//Z an�yment has been made. <br />71 (List all amendments. Use space below ff needed.) <br />A <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 08-2310 <br />