Laserfiche WebLink
City of Santa Ana <br />".; Clerk of the Council <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amendments (if any) are no longer in effect.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. I <br />Is the agreement(s) a permanent record? Yes No J E R Fj <br />10 9 '_ , s,3UNCIL <br />_j <br />29 <br />Return form to the Clerk of the Council Office (M-30). b <br />Call 647-1520 if you have any questions. <br />The agreement with Rn n F-n0m(j1[N �N1V?YCl <br />Na N-2019-020 was completed on \2 Al y jc1 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: K'CSK <br />Phone/Ext.: <br />Signature: 1-I <br />Date: 1\ C)ck 1202� <br />Revised: 10-18-16 <br />