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City of Santa ! _ a <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amendments (if any) are no longer in effect.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 />The agreement with <br />No. N-2015-070 <br />(List all amendments. Use st <br />Revised 08-23-10 <br />was completed on <br />e below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />COTC <br />Y <br />final payment has been made. <br />6 . v 1 <br />