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City of Santa 1 3 <br />` Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form wh' n 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amendments (if any) are no longer in effect.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 anylquestions. <br />The agreement with <br />COTC Office Use Only <br />fGIS-7 a,m <br />CITY OF SANT—F, <br />o <br />CLEPK [ <br />No. N-2014-049 was com fetedon �/ <br />p � 1 11� and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: s 1J5� <br />Date: <br />Revised 10.31-12 <br />