Laserfiche WebLink
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amendments (if any) are no longer in effect.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 1 <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 />krtti j2 5 GUi.. 07 <br />No. N-2021-091 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />i.lagreementslformslform - agreement termination form_goldronDd.dw <br />Department: \- DA - Af 6 W+l lrlt-' <br />Phone/Ext.: 5305 o( 535 5 <br />Signature: ate/ <br />Date: (,_ <br />