Laserfiche WebLink
; r : City of Santa Ana <br /> Clerk of the Council COTC Office Use Only <br /> 1 <br /> �`4 "� AGREEMENT TERMINATION FORM <br /> Please complete this form 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 amendments (if any) are no longer in effect.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 all grant retention requirements <br /> have been satisfied prior to signing the termination form. <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 e,„4„.c„,er____ a,,,y !i ,,, A/60,y <br /> No. /¢`2O/2-- —0 was completed on 6 3e1 /5, and final payment has been made. <br /> (List all amendments. U,�e space below if needed.) <br /> Department: • (1'Z/9-- <br /> Phone/Ext.: 4 2J <br /> Signature: L te4W 5frit0-: 7 <br /> Date: (r_ l/ / _ <br /> Revised:01-07-16 <br />