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City of Santa Apa <br />Clerk of the Coui,-d <br />AGREEMENT TERMINATION FORM--- -- <br />1 COTC Office Use Only <br />Please complete this form when the attached agreement and all <br />iTY D� I <br />amendments (if any) are no longer in effect.Ly <br />,T, IF <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 GGG <br />No. A -.2013 — rl !3 was completed on l E and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: P9_0_ ;A <br />Phone/Ext.: �} <br />Signature: fl{{rte� m�C4yi <br />Date: <br />Revised 08 23-10 <br />