Laserfiche WebLink
City of Santa Ana <br /><TL*7xjClerk 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amendments (if any) are no longer in effect.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 />Nate: 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 />COTC Office Use Only <br />c lQ <br />CRY of Santa Ana <br />,City Clerk's Office <br />The agreement with <br />N-202,E-309 was completed on _� ,I �' i� <br />No. p � � ;, � and final payment has been made. <br />(List all amendments. Use space below if needed.) 11 <br />LDepartment: -�o <br />Phone/Exf.: <br />Signature: <br />Date: <br />[:lagreementslformslform - agreement termination form—goldenrod.doc <br />