My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHILLA, ILLARY-2015
Clerk
>
Contracts / Agreements
>
A
>
ARCHILLA, ILLARY-2015
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/15/2020 8:58:17 AM
Creation date
2/10/2016 6:44:28 AM
Metadata
Fields
Template:
Contracts
Company Name
ARCHILLA, ILLARY
Contract #
N-2016-020
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2016
Insurance Exp Date
7/6/2017
Destruction Year
2021
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
33
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
City of Santa Ana <br />Clerk of the Council COTC Office Use Only <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. ZV9 A_UG ?1 PM 4 nq <br />Note: If your agreement is grant related, please ensure that all grant retention requirements hMvc <br />been satisfied prior to signing the termination form. C' TY OF SA N TA ANA <br />CLERK OF COUNCIL <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-1520 if you have any questions. <br />i <br />The agreement with �1 x: �Gck Ylnf �A"V,1 � V <br />N � <br />No. -o2OJ a -60o 0 was completed on ��3t l 1 to and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: V, "Is tor <br />Phone/Ext.: �S <br />Signature: <br />Date: <br />Revised. 01-07-16 <br />
The URL can be used to link to this page
Your browser does not support the video tag.