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City of Santa Ar\ caotc <br /> ors Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> COTC Office Use Only <br /> 7Cr5 .A11 k n,. li <br /> Please complete this form when the attached agreement and all CITYp <br /> amendments (if any) are no longer in effect. CLERK <br /> o�t +r 1U AP,la, <br /> .x�L.tt�� M�� f'i�f i,J;' <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 A(°7 • gro/ oX )72,5u/7frt/S <br /> No. # 1776 -05.2 was completed on �i/y75 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> /679 7-078 z <br /> /mil !q F-0/2. 4.051 "_. Department: icon/69-1/; dt-J <br /> rT� Phone/Ext.: (3 v <br /> Signature: <br /> Date: <br /> Revised 08-23-10 <br />