Laserfiche WebLink
City of Santa A, i <br />Clerk of the COON <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amendments (if any) are no longer in effect.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 />-- <br />COTC Office Use only <br />f <br />N-2015-169 -A �_ `c "I, ,/,/�� <br />No. was completed on ) f jq jGCj5 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: r t Q3A <br />Phone/Ext.: <br />Signature: <br />i <br />Date: q�1al�ota <br />Revised 10-31-12 <br />