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City of Santa A 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amendments (if any) are no longer in effect.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 647-1520 if you have any questions. <br />The agreement with <br />C20IS <br />...-.. ......... ............... .------------ <br />ice Use Only <br />?R11- fts 2 F at 1 8 <br />CITY n;7 INTA <br />C1– Ei <br />No. N-2015-144 was completed on q ', ��— and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: 1 0 <br />Phone/Ext.: jpZZ� <br />Signature:2QAll% <br />Date: <br />Revised 10-31-12 <br />