Laserfiche WebLink
City of Santa Ana <br />AA Clerk of the Council -corc oiiice use only <br />- - _ ....... ._. <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amendments (if any) are no longer in effect. 70 AUG 22 lair 4: 08 <br />Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. CITY OF SAN_E; ANA <br />Is the agreement(s)apermanent record? Yes _ No CLq,RK OF COUNCIL <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 c �(i) '5 6 D (1 C 6 y-e K—/ lno <br />No. N-2017-117 was completed on (,'j< and final payment has been made. <br />(List all amendments. Use space below if needed.) oo <br />Department: <br />Phone/Ext.: .- 31s- �a <br />Signature: S- Qy)i!& UK)4ci1.o <br />Date: d3011W <br />Revised: 10-18-16 <br />