Laserfiche WebLink
City of Santa Ana `11 <br />Clerk of the Council J <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and <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amendments (if any) are no longer in effect.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 0 No fv-(] <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 United Records Management, Inc. <br />COTC Office Use Oniv <br />RK OF THE COUNCIL <br />FEB 2'23 Prt4:413 <br />No. A-2020-203-02 was completed on 12/21 /2021 and final payment has been made. <br />(List all amendments. Use space below N needed.) <br />Department: Planning and Building <br />Phone/Ext.: 51131 <br />Signature: _\ H _ <br />Date: 02/02/2023 <br />tlagreements%formsVa" - agreement termination form_goldenrad.doc <br />