Laserfiche WebLink
City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form 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amendments (if any) are no longer in effect.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 />Return form to the Clerk of the Council Office (Nl-30) . <br />Call 647-1520 if you have any questions. <br />The agreement with <br />No. N-2016-084 <br />(List all amendments. <br />Revised: 0 1-07-1 6 <br />was completed on <br />Use space ,below if needed.j <br />COTC office Use Only <br />G 20 � (Q <br />PN-ERK' <br />-OF THE COUKIL <br />- 3 Ply --:29 <br />and final payment has been made. <br />Department: P � L (2) A <br />Phone/Ext.: <br />Signature: <br />Date: qA�'�IQA i q <br />