Laserfiche WebLink
City of Santa Ana <br />r <br />-�t 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amendments (if any) are no longer in effect.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. / tad <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 <br />N-2022-234 <br />was completed on <br />(List all amendments. Use space below if needed.) <br />V�'aej'r;yw( �1Qviol <br />tAagreementslforms\form- agreement termination form_goldenrod.doe l <br />COTC Office Use Only <br />OF THE COUNCIL <br />i122 Am10• 1.9 <br />and final payment has been made. <br />Department: <br />PpCSPc <br />Phone/Ext.: <br />t5(O j — <br />Signature: <br />'1— <br />Date: <br />`xJl:ao(-22'L <br />T <br />