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City of Santa p 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 -6520 if you have any questions. <br />COTC Office Use Only <br />............ ..- ................-- ........ -. <br />...3 i1Pe'- 3. �.w: <br />f ai <br />sK l l- <br />The agreement with f ) <br />N- 2014 -125 <br />No. N-2014-`128 completed on � j� and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: C or <br />Phone /Ext.: 52 <br />Signature: _q Ukox k <br />Date: 5121? 11 <�' <br />Revised 08 -23 -10 <br />