Laserfiche WebLink
City of Santa Ana <br />i 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amendments (if any) are no longer in effect.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 al! 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 Cleric of the Council Office (Nl-30). <br />Call 647-1520 if you have any questions. <br />COTC Office Use Only <br />L - 012- <br />City of Santa Ana <br />JAM 11 2w <br />Lilly Clerk's Office <br />The agreement with �1 K acVV-k <br />No. N-2022,-329 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />i:lagreementsVormslform - agreement termination form_gofdenrad.doc <br />3 <br />