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City of Santa i a <br />Q�-F <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />ton FEB -6 <br />Please complete this form when the attached agreement and CITY OF SAN <br />amendments (if any) are no longer in effect. CLERK OF CI <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 />No N-2015-092 was completed on <br />(List all amendments. Use space below N needed.) <br />!j1 <br />Department: <br />N _Q4 ty, _ ol) 4,—a Phone/Ext.: <br />COTC Office Use Only <br />N= 24 <br />and final payment has been made. <br />RAP <br />Signature: ` ,� t/ o t1, C� C an <br />Date: a ,-1 bz <br />Revised 10-31-12 <br />