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City of Santa i - j <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amendments (if any) are no longer in effect.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. <br />N-2014-119 p <br />was completed on <br />(List aff amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: G t <br />Date: i <br />Revised 10.31-12 <br />COTC Office Use Only <br />2015 JUL- i Pill 3: 3 R <br />CITY OF SAN TA1. <br />final payment has been made. <br />