Laserfiche WebLink
City of Santa Ana <br /> Clerk of the Council COTC Office Use Only <br /> AGREEMENT TERMINATION FORM <br /> Please complete this form in its entirety when the attached agreement and at <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 amendments (if any) are no longer in effect.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 /> 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 /> ( Su .The agreement with Ct'v / <br /> No. 2D(sr -2 7 was completed on /(s(( and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: pRiti — <br /> Phone/Ext.: 0 . <br /> Signature: (• <br /> F <br /> Date: ea(/S //t! <br /> e,,sed• 10-13-16 <br />