Laserfiche WebLink
City of San jAna <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amendments (it any) are no longer in effect. <br />Mote: 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 />COTC Office Use Only <br />C2_©12 <br />city of Santa Ana <br />JAN 11 2024 <br />-City <br />Clerk's Office, <br />The agreement <br />with �(� � r <br />A-2021-107-08 <br />No. - was completes! on _ 504 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department. <br />Phone/Ext.: <br />Signature: <br />Date: <br />i.',agreemen?s Pn_rms%form - agreement €ermination form^gcidenr00.,'jac <br />