Laserfiche WebLink
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amendments (if any) are no longer in effect.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 (N1-30) . <br />Call 647-1520 if you have any questions. <br />The agreement with Art° ano � G <br />COTC Office Use Only <br />C ZC)2-2- <br />City of Santa Ana <br />City Clerk's Office <br />No. N-2022r184 was completed on �� and final payment has been made. <br />(List all amendments. <br />Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: 1 <br />jAagreernentsVormslform - agreement termination form_goldenrod.doc <br />