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City of Santa '-,a <br />Clerk of the Cou�.Jl <br />AGREEMENT TERMINATION FORM ...... ..... . ........ ... ............................... ..................................... <br />COTC Office Use Only <br />-7 ------ P-�,4- -8 ---------- - <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY OF SAHT� <br />CLERK OF <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 />V <br />No. (IE) was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />A - 2oos - z6o Cli) Gore Department: 30-� <br />1 - <br />7V M -4VUj <br />* A, Phone/Ext.: <br />A - 2ooq - 206 IC.} Signature: <br />A- 1001•ZD6 -01 (14) Date: <br />Revised 08-23-10 <br />