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City of Santa Ana COTC Office Use Only <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 amendments (if any) are no longer in effect. ; AN _ C TY u 3 F <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 Property Registration Champions, LLC (Prochamps) <br /> No. A-2021-232 was completed on 6/19/2023 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: Planning and Building <br /> Phone/Ext.: 2717 <br /> Digitally signed by Francine R.Villareal <br /> Signature: Date:2024.09.09 12:30:55-07'00' <br /> Date: 09/09/2024 <br /> i:tagreements\forms\form-agreement termination form_goldenrod.doc <br />