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�zo)�City of Santa P 7 <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM ,,,,, rnM office Use Only <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amendments (if any) are no longer in effect.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 />"ITY <br />OTT eALITA <br />No. /V-020//-/- 10- was completed on 1k I 1 1IJV and final payment has been made. <br />(List all amendments. Use space below if needed.) n <br />Department: 7P1�- IA <br />Phone/Ext.: <br />Signature: i' ^ f "Q-0 <br />Date: t )1 I ( o <br />Revised 08-23-10 <br />