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City of Santa P -tea <br />Clerk of the Cowicil <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <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 <br />CIT <br />COTC Office Use Only <br />JUL -r pii q: Z 3 <br />No. A-2001-197A (44) was completed on 6/30/ and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />R - 20o -m cc it (4) <br />I R- &9 -12,6 (AT6) <br />If a-2oi,4-191 (4c) <br />Department: PRCSA <br />Phone/Ext.: <br />Signature: � o;f)1A <br />Date: 7/8/14 <br />S <br />Revised 08-23-10 <br />