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City of Santa F 1 <br />Clerk of the Council D'f 5 ✓ l 2 COPE Office Use Only <br />AGREEMENT TERMINATION FORM �9n <br />Please complete this form in its entirety when the attached agreement 9?A 9 —6 PM L!: 2 ) <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amendments (if any) are no longer in effect.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 O � S,` iN A A NA <br />have been satisfied prior to signing the termination form. CLERK,OF COUNCIL <br />Is the agreement(s) a permanent record? Yes No <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 A�`vc�rY®P_ �v\rv�w,pri`Syj -.Ev-%r- . <br />No. N-2017-213-03 was completed on 381laolz- and final payment has been made. <br />(List all amendments. Use space below N needed.) <br />/V-," 0/ r7 -, V3 - 0,9 <br />Department: PRC,&A <br />Phone/Ext.: Li7—IcA <br />Signature: <br />Date: q <br />Revised: 10-16-16 <br />