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C7�5�City of Santa is <br />`�� u <br />Clerk of the Council <br />M AGREEMENT TERMINATION FORM COTC office use only <br />Please complete this form when the attached agreement and all IGITY Gp n ), „_ <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amendments (if any) are no longer in effect.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 �1aLC�\ <br />No. fl � % )Nas completed on �i''Lti/i% and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />10- A-Z00t-21} (1) co Department: <br />i <br />4 4,' � 00� 21`}- 01 (2ca) Phone/Ext.: <br />Signature: <br />Date: <br />Revised 08-23-10 <br />