Laserfiche WebLink
City of Santa Ana <br />t Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all ?M7 07 <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirementL ITY "'If" <br />have been satisfied prior to signing the termination form. i <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 <br />N-2016-015 <br />No. <br />(List all amendments. <br />Revised: 01-07-16 <br />Use Only <br />J PM 34 <br />C MI <br />was completed on J/% and final payment has been made. <br />Use space below if needed.) <br />Department: F"-a:'K} <br />Phone/Ext.: �t <br />Signature: 1�x.� \ R1QA A -f) <br />Date: G G 1-7 <br />