Laserfiche WebLink
City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety 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amendments (if any) are no longer in effect.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 IT r <br />have been satisfied prior to signing the termination form. C <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 />The agreement with <br />COTC Office Use Only <br />22 P19 Lt: 06 <br />SANTA ANA <br />aP COUNCIL <br />No. N-2016-174 was completed on W': t I o and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: �SAQ`DlOA-2 C( �idGP <br />Date: C1.413G! LE <br />Revised: 10-18-16 <br />