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City of Santa t a <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amendments (if any) are no longer in effect.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 />The agreement with <br />No. N- 2014 -050 <br />(List all amendments. <br />Revised 10 -31-12 <br />was completed on <br />Use space below if needed) <br />COTC Office Use Only <br />-7 <br />CITY A 1,1 i�'Y* <br />C R <br />final payment has been made. <br />Department: to t% ,i <br />Phone /Ext.: <br />I <br />Signature: <br />Date: <br />