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City of Santa p r GV) <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />s. COTC Office Use Only <br />7917 I„> y <br />- . �. .'fid � ...... ............... <br />...1�.. r;s .}26 <br />Please complete this form when the af'ta`ched agreement and all CITY k -1F SANTA { Q, <br />amendments (if any) are no longer in effect. f j Ek; x r ,3 <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-2520 if you have any questions. <br />The agreement with <br />N-2008-094-02 <br />No. was completed on '1 ` � and final payment has been made. <br />(List all amendments. Use space below if needed.) t <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 04-12-10 <br />j <br />