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1124, <br />City of Santa 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amendments (if any) are no longer in effect.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 647-6520 if you have any questions. <br />The agreement with <br />COTC Office Use Only <br />OF s HE CM M' I <br />a r 'rv� FMB• n=2- ==2 <br />� .� <br />No. N-2014-125 was completed on ,;j and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRGS8 <br />Phone/Ext.: HAIIA <br />Signature: % <br />Date: q 116 k90n <br />Revised 08-23-10 <br />