Laserfiche WebLink
City of Santa / a <br />1� Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />2070 FIR -6 <br />Please complete this form when the attached agreement and6T OF $AN, <br />amendments (if any) are no longer in effect. CLERK 2F Oi <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 <br />Na N-2015-092 was completed on 13(i l u <br />(List all amendments. Use space below if needed.) <br />�C�_ C�C,�-0� Department: <br />Q4 lS" _ 0c) -a Phone/Ext.: <br />COTC Office Use Only <br />4. 24 <br />NA <br />IL <br />and final payment has been made. <br />Signature: ,S VACAC.A, Vf )AlC4'i <br />Date: 7 4� <br />Revised 10-31-12 <br />