Laserfiche WebLink
City of Santa B <br />=:t Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and ; F�� _6 <br />amendments (if any) are no longer in effect. PM 3! 36 <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 />CIT OF SANTA ANA <br />CL R! OF COUNCIL <br />No. A- rai—= was completed on Qjg1laoll and final payment has been made. <br />(List all amendments. Use space below N needed.) <br />Department: MCLA <br />Phone/Ext.:� <br />Signature: <br />Date: <br />Revised: 10-18-16 <br />