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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 call <br />amendments (if any) are no longer in effect. <br />Note: if your agreement is grant related, Tease 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 K ru <br />No. N-2022-099 was completed on <br />Mist all amendments. Use space below if needed.] ' <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />hagreementsVormsIorm - agreement termination form —golden rod. dec <br />COTC OffiicG Use Only <br />CjtV of Santca Ann, <br />JAN H 2024 <br />City Clerk's Office <br />and final payment has been made. <br />