Laserfiche WebLink
City of Santa A 7 <br />-_ Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agrMniFFIRd4 M 4: 21 <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention regLl ep(s( A. I; T A N A <br />have been satisfied prior to signing the termination form. t h; K, OF CO: NC ( L <br />Is the agreement(s) a permanent record? Yes _ No <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 A-w �j}f+u� t� - � inn � �u Lg ,T4AQ r <br />N-2©78-130 <br />No. was completed on �j �,S�OnI� and final payment has been made. <br />(List all amendments. Use space below N needed.) <br />Department: rt C5A <br />Phone/Ext.: ') n <br />Signature: (d/r- <br />Date: � IAIgon <br />Revised10-I8-16 <br />