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City of Santa f`�-a - <br />�,i, y Clerk of the CoLnicil <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amendments (if any) are no longer in effect.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 />Fuih .--"r '3 ............. <br />-I <br />()T 0 F S - ' x <br />uE <br />The agreement with�,,Y'yk A i V c� <br />No. O%was completed on 045) �(� and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: F &I J4 <br />Phone/Ext.: a ,' Z F <br />Signature: OA40 <br />Date: <br />Revised 08-23-10 <br />