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Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY OF <br />Return form to the Clerk of the Council Office (M -30). V <br />The agreement with <br />c 2- j <br />COTC Office Use Only <br />No. A— W q� l b"I was completed on and final payment has been niade. <br />(List all amendments. Use space below if needed.) <br />Department: C4DA- <br />Phone /Ext.: 53 <br />Signature: f wtty� aW11A <br />Date: <br />Revised 04 -12 -10 .. ,. <br />City of Santa A7,- <br />Clerk of the Coufs%;n <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY OF <br />Return form to the Clerk of the Council Office (M -30). V <br />The agreement with <br />c 2- j <br />COTC Office Use Only <br />No. A— W q� l b"I was completed on and final payment has been niade. <br />(List all amendments. Use space below if needed.) <br />Department: C4DA- <br />Phone /Ext.: 53 <br />Signature: f wtty� aW11A <br />Date: <br />Revised 04 -12 -10 .. ,. <br />