Laserfiche WebLink
City of Santa Ana <br />Clerk of the Council cofc office 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amendments (if any) are no longer in effect.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 '- ;r ti ., j t <br />iNr = P 4a <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 �SZ\ � C D ���( (l�` <br />No. /(%'pZQ/9-, was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: "Gish <br />Phone/Ext.: r%?-R <br />17 <br />Signature: � <br />Date: 111011202X <br />Revised: 10-18-16 <br />