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 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amendments (if any) are no longer in effect.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 hC Q V & 6JP tt,4 VhryI� O� (AI t41iV1r q <br />A-2020-158-36 <br />No. was completed on <br />(List all amendments. Use space below if needed.) <br />ilagreements\formsgorm - agreement termination form_goldenrod.doe <br />COTC Office Use Only <br />5 <br />1 -R) 2U!-6 and final payment has been made. <br />Department: C' M of 1 <br />Phone/Ext.: 1�2OO <br />Signature: DIAO t-e 15 <br />Date: Z 1 I�p�ZI <br />