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City of Santa P' - i <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-1520 if you have any questions. <br />COTC Office Use Only <br />'ITY Ci S, '" ! <br />CLE F <br />The agreement with / 10 Ex zx C 4t 1p <br />No. N-2014-041 was completed on ( w t Ls;_ and final payment has been made. <br />(List all amendments. Use space below if needed.) � <br />Department: � y `r r <br />Phone/Ext.: <br />Signature: `A CLi \ G <br />Date: <br />Revised 10.31-12 <br />