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amendments (if any) are no longer in effect.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 />M"V\a Hex-rex'q <br />N-2017-118 was completed on <br />(List all amendments. Use space below if needed.) <br />V14 A11% 22 Pii 4: 08 <br />CITY OF SANTA ANA <br />CLERK OF COUNCIL <br />1p pZD and final payment has been made. <br />Department: P\\C.SA <br />Phone/Ext.: tiaka <br />Signature: <br />Date: 0�©l <br />Revised: 10-18-16 <br />