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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amendments (if any) are no longer in effect.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 <br />taxi dv &n I <br />h C6 <br />COTC Office Use Only <br />C2- <br />CitV of Santa Ang <br />JAN 1 I Z024 <br />Cif clerk,c Office <br />N-2022-032 <br />No. was completed on "land final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: , <br />'Y <br />Signature: <br />Date: ] �_ <br />i.tagreements',forms'form - agreement termination form_goldenrcd.doc <br />