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amendments (if any) are no longer in effect.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 <br />bec,k . 'F-, e10 el<cx 1 <br />No. N-2022-322 was completed on �,v <br />(List all amendments. Use space below if needed.) <br />r°;nraP.rnP.nKVnrm-,Nform- acreement termination form golden rod.doc <br />Department: <br />COTC Office Use U <br />C 2-0 -'�z <br />City of Santa Ana <br />JAN 1, 1 2924 <br />City dark"s Office <br />and final payment has been made. <br />Phone/Ext.: 2 <br />Signature: <br />Date: a.r <br />