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City of Santa i _ a <br />Clerk of the Council <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amendments (if any) are no longer in effect.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 -1520 if you have any questions. <br />The agreement with <br />COTC <br />O SAN <br />No. N -2014 -059 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department:. <br />Phone /Ext.: <br />Signature: o�pD iAL, iPAEkZD <br />Date: 5 q t 4ks <br />Revised 10 -31 -12 <br />