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City of Sang 4na <br />f Clerk of the C incil <br />AGREEMENT TERMINATION FORM ----- —._.-._-_--______.___. <br />COTC Office Use Only <br />i -- <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITCL Y �h SaNTA ANC <br />E�RK OF COUNCIL <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. j <br />The agreement with V-1 f , l i - CLLY o 1 vao <br />No. -A --,-�C%LS Ci�CA was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />4 IS f I Department: <br />Phone/Ext.: <br />Y'r ..52Cb,S7- j s�< OZ <br />rD C IS - I -( Signature: <br />Date: <br />Revised 08-23-10 <br />