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City of Santa A I <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amendments (if any) are no longer in effect.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 647-6520 if you have any questions. <br />The agreement with <br />COTC Office Use <br />F" -6 PM <br />DF ' A/' <br />COUNCILS <br />No. N-2015-097-001 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: VRC 6 A <br />Phone/Ext.: LIQ iq <br />Signature: A"4r� <br />Date: <br />Revised 08-23-10 <br />