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City of Santa Ana <br />Clerk of the Council �� 1 <br />AGREEMENT TERMINATION FORM 1 <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amendments (if any) are no longer in effect.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 <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 A-2020-042-02 <br />(List <br />COTC Office Use On]v <br />APA GITY CLERK <br />was completed on % and final payment has been made. <br />ce below ff needed.) <br />Department: <br />Phone/Ext.:� I <br />Signature: <br />Date: - ✓ �� <br />ilagreements`dormOorm - agreement termination form goldenrod doc <br />