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amendments (if any) are no longer in effect.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 <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 NAyi%s potxy bgft Ne,&Aa (arburd SN, r <br />COTC Office Use Only <br />No. A-2021-068-05 was completed on 3 LI 22 and final payment has been made. <br />(List all amendments. Use space below N needed.) <br />Department: <br />Phone/Ext.: 2 Z (Ci <br />Signature: <br />v� <br />Date: 3/21 22" <br />ilagreemen0forms\farm - agreement termination form_goldenrod.doc <br />