Laserfiche WebLink
City of Santa Ana . <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement a mt "n P"' 3- D' <br />amendments (if any) are no longer in effect. <br />CITY r E,sA 1A <br />Note: If your agreement is grant related, please ensure that all grant retention requirements n <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 />C 2-01? <br />Use Only V <br />N-2017-133 <br />No. was completed on L `-1 and final payment has been made. <br />(List all amendments. Use space below if needed.) �t- <br />Department: F9L% - T <br />Phone/F ct.: 7 &SLS ' �a <br />Signature: 6Q� )( A- 3' AA <br />Hate: idiq h-7 <br />Revised: 10-18-16 <br />