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0City of Sant� <br />2- � t ` a A 7 <br />Clerk of the <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all P20 FE <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements CITY 6 <br />have been satisfied prior to signing the termination form. CLERi <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 />COTC Office Use Only <br />-6 PH 3-' 38 <br />OF�COUNCIL <br />No. R--'daiG-aay was completed on and and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Revised: 0 1 -07-16 <br />Department: Pf7yA <br />Phone/Ext.: lid II j <br />Signature: <br />Date: co �O�Q <br />