My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CAMPOS, FLOR
Clerk
>
Contracts / Agreements
>
C
>
CAMPOS, FLOR
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/20/2024 9:57:56 AM
Creation date
6/20/2022 2:39:50 PM
Metadata
Fields
Template:
Contracts
Company Name
CAMPOS, FLOR
Contract #
N-2022-175
Agency
Library
Expiration Date
7/10/2022
Destruction Year
2027
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
City of Santa Ana CUTC 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amendments (if any) are no longer in effect. <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 />s 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 Flo (� am <br />No. N-2022-175 was completed on 7111'�7 <br />(List all amendments. <br />Use space below if needed) <br />Department: <br />Phone/Ext.: <br />Signature: <br />©ate: <br />i:lagreemenlstformsVorm - agreement termination form_goldenrod.doc <br />City of Santa Ans. <br />City ClerWs Office <br />and final payment has been made. <br />
The URL can be used to link to this page
Your browser does not support the video tag.