Laserfiche WebLink
City of Santa a C 20( <br />Clerk of the Council core Office Use only <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amendments (if any) are no longer in effect.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 647-1520 if you have any questions. <br />The agreement with <br />I f 3 <br />I, `A <br />f s " <br />d - <br />A-2015-148 <br />No. was completed on `7ki1L�_ and final payment <br />ayment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: t' Q&A- <br />Phone/Ext.: <br />Signature: ( IA jo <br />Date: 9 lzp-I 1(, <br />Revised 10.31-12 <br />