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City of Santa i - .3 <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amendments (if any) are no longer in effect.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 />Office Use <br />7014 ILIL -7 M 3 3° <br />CITY CF S:" NT1' ??. <br />CLE ak CF ,+1 " <br />The agreement with ! / 0� s z <br />No. N- 2014 -113 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: I AIV_(' <br />Phone /Ext.: �Dzj-_SL-y <br />Signature: , QA A> /Vf � ) <br />Date: <br />Revised 10.31 -12 <br />