Laserfiche WebLink
City of Santa Ana <br />lir �• r 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amendments (if any) are no longer in effect. T <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. 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 />No. N-2017-095 was completed on <br />(List all amendments. Use space below if needed.) <br />COTC <br />4U6 2 t PM 5: 0 t <br />ERK OF COUNCIL <br />o $ and final payment has been made. <br />Department: /PRCSA <br />Phone/Ext.: t�y��CA <br />Signature: (YJ,1�Gli <br />Date: �I Ifq wv�Q�q <br />Revised: 10-18-16 <br />