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Clerk of the Council <br />AGREEMENT TERMINATION FORM ------- <br />- I COTC Office Use Only <br />Please complete this form when the attached agreement and all <br />amendments lif any) are no longer in effect.'{ r)rF 6".A <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 A roC7C coU ,D <br />NXA Zoa6 OOq { � was completed on Z n /—, and final payment has been made. <br />(List all amendments. Use space below if needed.) /� .n a <br />Department: 'C G%7 <br />Phone/Ext.: )6 i7 I <br />Signature: <br />Date: C <br />Revised OB-23-10 <br />