Laserfiche WebLink
City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this farm 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amendments (if any) are no longer in effect.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 />No. N-2022-037 was completed on <br />[List aft amendments. Use space below if needed.) I <br />Department: <br />COTC Office Use Only <br />C 2-o2,2, <br />pity of Santa Ana <br />JAN 11 2024 <br />City Clerk's office <br />and final payment has been made. <br />Phone/Ext.: <br />Signature. <br />Date: -1 13) X- <br />hagreementsWormsVorm - agreement termination form —golden rod,doc <br />