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City of Santa A 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amendments (if any) are no longer in effect.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 Office Use Only <br />7 <br />CITY OF <br />CLERK r <br />c cJ <br />N- 2014 -110 {{ " <br />No. was completed on q 1 ) j and final payment has been made. <br />(list all amendments. Use space below if needed.) <br />u ao"(q_ 1 w _. ®® � Department: P -r- <br />Phone /Ext.: <br />Signature: )kS,0 CCA � I <br />Date:11t <br />Revised 10.31 -12 <br />