My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY
Clerk
>
Contracts / Agreements
>
C
>
COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/7/2023 3:47:36 PM
Creation date
7/17/2020 9:34:18 AM
Metadata
Fields
Template:
Contracts
Company Name
COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY
Contract #
A-2020-043-05
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
3/3/2020
Destruction Year
2027
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
41
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
City of Santa " na <br />Clerk of the Council �� I <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements CLER <br />have been satisfied prior to signing the termination form. A <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 />COTC Office Use Only <br />UE THE COUNCIL <br />28123 P,44.33 <br />A-2020-043-05 <br />No. was completed on���nd final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: C_/1�✓� <br />Phone/Ext.: <br />Signature: <br />Date: <br />i:lagreementsUormstform - agreement termination form_goldenrod.doc <br />
The URL can be used to link to this page
Your browser does not support the video tag.