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p78|� <br />City ofi�clbiin ` ~~�°� <br />~--^ -' Santa - \/ <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all ji: fin <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements <br />MY OF SA <br />have been satisfied prior to signing the termination form. <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 Thirdwave Corporation <br />No. was completed on and final payment has been made. <br />(List all amendments. Use space below ifoeeded.) <br />Department: City Manager's {>ffi <br />Phone/Ext.: 520 <br />Signature: <br />� Dote: � <br />