Laserfiche WebLink
City of Santa Ana <br />City Cleric <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amendments (if any) are no longer in effect.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 City Clerk's Office (M-30). <br />Call 647-6520 if you have any questions. <br />The agreement with <br />COTC Office Use Only::�] <br />C2-02,�) <br />City of Santa Aria <br />JAN 11 2024 <br />City Clerk's Office <br />N-2023-071 I? - <br />No. was completed on and final payment has been made. <br />(List all amendments. Use space below if needed) <br />Department: <br />Phone/Ext.: S <br />Signature: <br />Date: � V3�3 <br />iAagreementslformsVorm- agreement termination form —golden rod .doc <br />