Laserfiche WebLink
City of Santa Ana <br />�r t 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amendments (if any) are no longer in effect.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 prier 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-I520 if you have any questions. <br />The agreement with E �&kvl e' <br />No. N-2022-185 was completed on <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />i:tagreementsVornnWorrn - agreement termination form_goldenrod.doc <br />COTC Office Use Only <br />L- z 0 3-L4,- <br />CjtV of Sanm ,aria. <br />City Clerk's Office <br />and final payment has been made. <br />