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 a la 19 (M 3. 10 <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements CITY OF SAN TA ANA <br />have been satisfied prior to signing the termination form. CLERK OF COUNCIL <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 />/�+ ��-s 0-, /Q <br />No. A --2.,o — DV°I k3 was completed on 9-4 —`V and final payment has been made. <br />(List all amendments. Use space below if needed.) � Department: /) /q <br />Phone/Ext.: l0 <br />Signature: (� Q <br />Date: <br />Revised: 10-18-16 <br />