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City of Santa An <br />{rt Clerk of the Council <br />AGREEMENT TERMINATION FORM---- _.___._..____..._ <br />COTC Office Use Only <br />i..---------------------------------------.-..-._.. <br />FEB -6 PM 3: 37 <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. PITY OF SAHTA MA <br />CLERK OF COUPdCIL <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 Luz Mun <br />No. �} 2�11'"��BQ li was completed on JZ/3Iand final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: MC jA <br />Phone/Ext.: <br />Signature: 4 �0 � <br />Date: <br />Revised 08-23-10 <br />