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City of Santa ' nc <br />f Clerk of the Coarfcil <br />COTC Office Use Oniv <br />AGREEMENT TERMINATION FORM 7A I pa <br />Please complete this form in its entirety when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all gr t retention requirements <br />have been satisfied prior to signing the termination form. <br />Is the agreement(s) a permanent record? Yes N <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 />F THE COUNCIL <br />P" 2123 Pm,2:241 <br />No. A-2020-043-26 was completed on Ilt 14 (2Z and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: LP <br />Phone/Ext.: bJUit <br />Signature: P <br />Date: `\ I 1 L4 <br />lagreementsWormslform - agreement termination form_goldenrod.doc <br />