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City of Santa Ana COTC Office Use Only <br />t Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreeme rf II PM 2: L12 <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requiremenrss ( T Y Q F A jN T Z A W A <br />have been satisfied prior to signing the termination form. C L E R f 01F C G U N i ) L <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 byt � I', (`K!w Ag,<- <br />N-2020-042 Ott — 7 7� ! rrri Are <br />No. was completed on iQ) and fi a paymen as een ma e. <br />(List all amendments. Use space below if needed.) <br />Pgfffr(e� Teyrm'1m4ed <br />.��.. <br />Department: CAA Mfrs CtJ/d �CL1'TULA(P. <br />Phone/Ext.: 4J `55 5356 <br />f-C' `r I& <br />Signature: <br />Date: Oaych iB , w'-Lo <br />ilagreemen(Oonnslform - agreement termination form_goldenrod.doc <br />