Laserfiche WebLink
(9) <br />City of Santa Ana <br />Clerk of the Council <br />COTC Office <br />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amendments (if any) are no longer in effect.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 J <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 'ROZOAva ,alON <br />No. N-2019-053 was completed on 2M and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: MCSA <br />Phone/Ext.: 61101i <br />Signature: <br />Date: 1\ it 1202 \ <br />Revised: 10-1 & 16 <br />