Laserfiche WebLink
• <br /> City of Santa Ana COM Office Use Only <br /> ,r Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> SANTA ANA CITY CLERK <br /> Please complete this form in its entirety when the attached agreement and gA JUL 17'24 PH�.t 2 <br /> Amendments (if any) are no longer in effect. ' 3 <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 PQrft Sons 6) I 'cr <br /> A-2022-103-03 was completed on 07/17/202 and nd final payment has been made. <br /> (List all amendments. Use space below If needed.) <br /> Department: Planning and Building Agency <br /> Phone/Ext.: x2717 <br /> Signature: j, vl� <br /> Date: 07/17/2024 <br /> Free reres xrt:orrn r ar- <br />