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amendments (if any) are no longer in effect.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 farm. <br />Is the agreement(s) a permanent record? Yes No <br />Return form to the Clerk of the Council Office (M-30). <br />Gall 647-1520 if you have any questions. <br />The agreement with <br />v►�v�, h <br />No. A-2022-092-11 was completed on <br />(List allamendments. Use space below if needed.) <br />bagreementsftrmsVorm - agreement termination form_goldenrod.doc <br />COTC Office Use Only <br />C 2o2-3 <br />of Santa AiIE�; <br />JAM 11 20 <br />:city clerk's Office <br />—and final payment has been made. <br />Department:°rT <br />Phone/Ext.: <br />Signature: <br />Date: <br />