Laserfiche WebLink
City of Santa Ana - <br />Clerk of the Council coTc office use only <br />-- <br />AGREEMENT TERMINATION FORM <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amendments (if any) are no longer in effect.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 grant retention requirements <br />have been satisfied prior to signing the termination form. <br />',-UERK I iF THE PO OWILR <br />Is the agreement(s) a permanent record? Yes No d 13 ". ' p PMaa 3 <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 />No. N-2018-219 was completed on Ji l}21_1.G and final payment has been made. <br />(List all amendments. Use space below if needed.) f� <br />Department: Mu; <br />Phone/Ext.: )� <br />Signature: <br />Date: q <br />Revised: 10-18-16 <br />