Laserfiche WebLink
City of Santa Ana <br />i, 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amendments (if any) are no longer in effect.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 W ICIy-v <br />No. {�' I ✓� I was completed on �' b <br />(List all amendments. Use space below N needed.) <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />islagreemenlsltormslformagreement termination form_gol enr .doc <br />COTC Office Use Only <br />OF THE COUNCIL <br />L 6121 PH2:54 <br />and final payment has been made. <br />