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amendments (if any) are no longer in effect.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 />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 />The agreement with <br />No. N-2023 041 was completed on <br />(List all amendments. Use space below if needed.) <br />iAagreementslformsVorm - agreement termination #ormTgoidenrod.doc <br />COTC Office Use Only <br />C2o23 <br />I of Santa S <br />JAN 202 <br />city ClerWs Office <br />1_3 and final payment has been made. <br />Department:' <br />Phone/Ext.: <br />Signature: <br />Date: <br />ti <br />CA MAL <br />