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amendments (if any) are no longer in effect.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. <br />Is the agreement(s) a permanent record? Yes No AL <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 />Me <br />Rn9ue1 C�ulte'Irez <br />1 2 e, <br />E r"� �r-;_ta��gs <br />Only <br />N-2019-045 was completed on 12131 1206 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: MCBA <br />Phone/Ext.: vie) -I9 <br />Signature: <br />Date: 10128 j2n9 j <br />Revised: 10-18-16 <br />irk <br />