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Cityof Santa a -------- ............. .. .... .. ........... .. .. ......... <br />Clerk of the Council <br />COTC Office Use Only <br />............................. ................ ........... <br />AGREEMENT TERMINATION FORM <br />JI-I'L -7 21141 3: a7 <br />Please complete this form when the attached agreement and all CITY OF <br />amendments (if any) are no longer in effect. CUERI"I 0F COU�' <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-1520 if you have any questions. <br />The agreement with <br />No. N-2014-048 was completed on 5-1,N114 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Feasiq- <br />Phone/Ext.: 53—A <br />Signature: 'Sdcx'-IA&E� <br />Date: 5—L- )11 �S- <br />Revised 1431-12 <br />