Laserfiche WebLink
k City of Santa Ana <br />Clerk of the Council <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amendments (if any) are no longer in effect.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 <br />have been satisfied prior to signing the termination form. <br />Is the agreement(s) a permanent record? Yes _ No V— <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 0,Q,IIP1 %rf%te)yP7 <br />COTC Office Use Only <br />N-2020-203 <br />No. was completed on j0f0912021 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: f PLsN <br />Phone/Ext.: 52 ►M I — <br />Signature: 61 X� <br />Date:/012151209 <br />hagreements\forneVorm - agreement termination form_goldenrod.doe <br />