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City of Sant- A 7 <br />Clerk of the t_,unvd <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />2120 F --- <br />-g PH 3. 38 <br />Please complete this form when the attached agreement and all CITY Q <br />amendments (if any) are no longer in effect. CLERi 'ATA ANA <br />COUNCILOF <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. i <br />The agreement with <br />No. `(7�OVt5— 005 was completed on V�.J0 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Pr `act fs�- ac�S--o I <br />_cZa L5--Ci0�;_ `6� <br />Revised 08-23-10 <br />Department: Li 19M.Yky <br />Phone/Ext.: r� <br />Signature: <br />Date:! <br />