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City of Santa 1" -a <br />Clerk of the Cou —il <br />AGREEMENT TEIRMINATION 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amendments (if any) are no longer in effect.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 />No. N-2014-122 was completed on 1 <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 0&2370 <br />COTC Office Use Only <br />I---;arr---� p --- VT4--7T-• <br />CIT`t 0 F S A NI;": � :� . <br />final payment has been made. <br />