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City of Santa .6 -,1 CZt��S <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />L........................___......_..............-..-.-.-..-.___--.__.............. <br />?Aid CM 7 h ) <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CIT <br />� <br />C,4 r <br />-. 3.y <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 T- Mobile U•S.R. Inc. <br />N-2015-073 f, <br />No. was completed on� '1 .`J' and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: FPS <br />Phone/Ext.: &st+ <br />Signature: : {i 0 t> c& 1, A Se Asr(Q <br />Date:L I <br />Revised 08-23-10 <br />