Laserfiche WebLink
City of Sara? Ana <br />Clerk of the .ouncll ` _ corc office use <br />......... ................... <br />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amendments (if any) are no longer in effect.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. g <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 3 {v STc,0 V fi{A-44P-t S p <-, IIQ C - <br />C 2016 <br />No. A • 2_p i`I • I -7Li was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />R- 2-0N - 1`14- D <br />A- --aEy - (-7L4• 02 - <br />Revised: 01-07-16 <br />Department: F41iPC <br />Phone/Ext.:3'jci <br />Signature: <br />Date: <br />