Laserfiche WebLink
City of Santa A, a <br />r t Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form 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amendments (if any) are no longer in effect.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 />Return form to the Clerk of the Council Office (M-30). <br />Call 647-1520 if you have any questions. <br />The agreement with (' J 114 <br />COTC Office Use Only <br />� Cie <br />V <br />No. � �b ��_ �� was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) J <br />0/7 A)-7 63 <br />2> <br />Revised: 01-07-16 <br />Department: G- i oe <br />Phone/Ext.: <br />Signature: -?74 <br />" r✓�� / 1 6� <br />Date: <br />