Laserfiche WebLink
City of Santa Ana f <br />Clerk of the Council cOTc omce use Only <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amendments (if any) are no longer in effect.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 ^ , 'i ;E <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 %\611a1e S A \\MMh \1P J6 bAy 6ro� <br />No. N-2019-016 was completed on %J181120i°1_ and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Q(LCS� <br />Phone/Ext.: <br />Signature: <br />Date: w6t l ln\ <br />Revised: 10-18-16 <br />