Laserfiche WebLink
City of Santa A-7 <br />t Clerk of the Coun,oi <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amendments (if any) are no longer in effect. Cg tr <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 />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 <br />�q <br />COTC Office Use <br />st= THE COOK-s� l 16'22 Am8:42 <br />No. / U -02-01 / -L426) was completed on i0 �l b%% and final payment has been made. <br />(List all amendments. Use space below N needed.) <br />Department: <br />Phone/Ext.: <br />'� oC✓� <br />Signature: <br />Date: <br />U0 <br />Revised: 10-18-16 <br />