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City of Santa i a <br />r <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amendments (if any) are no longer in effect.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 />GV <br />COTC Office Use Only <br />a -r <br />C i <br />No. N -2014 -061 -001 ((!k) was completed on <br />i (List all amendments. Use space below if needed.) <br />i W'x14 -Dbl CI)Cole <br />Revised 10.31 -12 <br />3011 f and final payment has been made. <br />Department: <br />Phone /Ext.: - <br />Signature: S-A, s`�,Q <br />Date: C124 0(if <br />