Laserfiche WebLink
City of Santa Ana <br />�Pt Clerk of the Cou, 'I <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and all 1 <br />amendments (if any) are no longer in effect. 2020 FBI® -6 PM 4: 23 <br />Note: If your agreement is grant related, please ensure that all grant retention requirements 1 <br />have been satisfied prior to signing the termination form. CITY � F S A N TA A h A <br />Is the agreement(s)apermanent record? Yes _ No CLERK OF COUNCIL <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 />N-2018-160-01 <br />No. was completed on <br />(List all amendments. Use space below if needed.) <br />Revised: 10-1 & 16 <br />and final payment has been made. <br />Department: <br />QR�C A <br />Phone/Ext.: <br />Q <br />Signature:`! <br />Date: <br />