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City of Santa __ oa <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />n <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. fITY OF M e., " rt)'l <br />CLERK', .E,_x <br />Return form to the Clerk of the Council Office (M -30). <br />Call 647 -6520 if you have any questions. <br />,G�/� n i <br />The agreement with C� `r-J 1/)t�nn^; \ <br />No. (was completed on 6lo'Zo l o and final payment has been made <br />2 (List all amendments. Use space below if needed.) <br />Department: <br />Phone /Ext.: <br />Signature: <br />Date: <br />V <br />Revised 0 8-2 3-10 <br />