Laserfiche WebLink
City of Santa ` -a <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amendments (if any) are no longer in effect.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 <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 />The agreement with <br />No. N-2017-029 was completed on <br />(List all amendments. Use space below if needed.) <br />COTC Office Use Only <br />xmD JUL 19 N 37 07 <br />CLERK OFCOUNCIIL <br />and final <br />tt �payment has been made. <br />t Department: ? � / Ad i(J-A, --j <br />Phone/Ext.: <br />Signature: <br />Date: (D <br />Revised: 10-18-16 <br />