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City of Sant, 0,na <br />"+r Clerk of the Cuuncil <br />AGREEMENT TERMINATION FORM _ .................. .....__............ .....------- ..__.... _........ <br />_, <br />COTC Office Use Only <br />2VI Flo (---- ... .. .---------- <br />Please complete this form when the attached agreement and all CITY Or , ,; I <br />amendments (if any) are no longer in effect. CLERK �, `r `' �TA ANA <br />UNCIL <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. <br />i <br />The agreement with S vA A <br />No. 09 was completed on C and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />14-j�-G )S CX114-CG <br />Revised 08-23-10 <br />Department: � �;� / Li L1>"il.",1t <br />Phone/Ext.:-, <br />Signature: _ jt "Ln'cc c.t,i/VN-) <br />Date: <-�24Ldz <br />