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w, City of Santa Ana <br />Clerk of the Council /1 N h <br />AGREEMENT TERMINATION FORM f <br />Please complete this form in its entirety when the attached agreement a <br />amendments (if any) are no longer in effect. <br />Note: It 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 />No. <br />A-2020-085-06 was completed on <br />(List au amenurrrorrra. ,.,,.ace below if needed.) <br />hagreemenlsrformsrform - agreement termination form_goldenrod.dw <br />COTC Office Use Only <br />OF THE COUNCIL <br />131'23 PM3:58 <br />'1�1�L�i7J►�I�VrIAI <br />I ( Z7i and final payment has been made. <br />Department: C04 <br />Phone/Ext.: (050 <br />Signature: <br />Date: 1I I I (ZZ <br />