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City of Santa Ana 1 <br />7' 1 i t Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />06 <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amendments (if any) are no longer in effect.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? 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 />A-2020-085-07 <br />No. _ was completed on <br />(List all amendments. use space below if needed.) <br />i1agreementslformslfomn - agreement termination form_goldenrod.doo <br />COTC Office Use OnN <br />OF THE COUNCIL <br />131'23 Pm3:50 <br />111 i� I 2Z <br />andfinalpayment has been made. <br />Department: <br />N/ A <br />Phone/Ext.: <br />lJ>lJ <br />Signature: <br />P,C- <br />Date:L11 <br />