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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 <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amendments (if any) are no longer in effect, 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? YesF1 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 4LEAF) INC <br />0 <br />No. A-2019-199-01 was complefed on ve'ly fficr and final payment has been made. <br />(List all amendments. Use space below if needed) <br />x <br />C , J�yjor <br />[,JS ecl, NO <br />vn"')Clor. <br />COTC Office Use Oni <br />6' OFTHE COUNCIL <br />L 13 '22 m8:47 <br />hagreementsVormsVorm - agreement termination form _goldenrod doc <br />#eparfment: Planning and Building <br />Phone/Exf,- X2717 <br />Signature: <br />Date: 07/12/2025 <br />