Laserfiche WebLink
City of Santa Ana <br />Clerk of the Council <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amendments (if any) are no longer in effect.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 farm. <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`iaVc��(� <br />C-261 L? <br />COTC Office Use Only <br />ern' -7 <br />qtr rs t ca <br />O zr <br />f.'. � 1 <br />Mr U ' <br />No. A—aCAV—Cj was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: G355 <br />Signature: � C t� �` t QALC I�:) <br />Date: Ci L) -I, l) t t <br />Revised: 01-07-16 <br />