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City Of Santa Ana F-�COTc <br />Office Use Only <br />City Clerk <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and all City Of nn <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amendments (if any) are no longer in effect.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. <br />Ity derklgs, Office <br />Is the agreement(s) a permanent record? Yes No <br />Return form to the City Cleric's Office (M-30) . <br />Call 647-6520 if you have any questions. <br />The agreement with �YVA Woo <br />N-2023-131 <br />No.was completed on <br />(List all.amendments. Use space below if needed.) <br />r'agreementstiformsVorm - agreement termination form—goldenrod.doc <br />li �, ji and final payment has been made. <br />i <br />Department: <br />Phone/Ext.: ' <br />Signature: f <br />Date: 13 V-?:> <br />