Contract Cancellation Form
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Contract Cancellation
Contractor First Name and Last Name (Legal Name ONLY)
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Please Select
Adam Chavez
Alan Edmiston
Albert Carroll, Jr
Alcario Perez
Arthur Garrett, Jr
Arturo Rodriguez
Barbara Wallace
Bart Cox
Bernadette Cerrone
Billy Green
Billy Joe
Billy Williams, Jr
Blair Racine
Brandon Graham
Brandon Green
Brandon Stewart
Brenda Dennis
Brian Bell
Bridgette Moore
Britton Ellis
Broderick Jones
Bryan Maxwell
Camille Wallace-Stenson
Carla James
Cecile Pool
Celeste Andrade
Celisa Zeober
Charles Barr
Cheyenne McGehee
Charlie Thomas, Jr
Christopher Cargill
Christopher Hunnicutt
Christopher Kostos
Christy Freeman
Clinton Cobin
Cynthia Wright
Dale Ellison
Dalzell Waldrop
Daniel Da Silveira
Darnell Barnett
Darrell Ceasar, Jr
Darren Thornhill
Darryl Cockerham
David Goodrum
David Myers
Deanna Cotton
Debbie Cantu
Derrick Curry
Diondriya Young
Dominisha Harris
Don Plant
Douglas Brown
Eddie Jean McKinsey
Edward Martinez
Edward Nedoroscik
Edward Ybarra
Emily Viar
Eric Paul
Eric Slaughter
Eugene Chisolm, II
Faron Dallas
Fred Van Zandt, Jr
Freddie Williams, Jr
Frederick Goss
Garrett Dotson
Gary Bostick
Gary Floyd
George Charles, Jr
Greg Seward
Gregory Cantu, Jr
Gregory Krause
Gretta Green
Haley Maresh
Helen Bird
Honey Plavidal
Houston Hernandez
Humberto Cantu
James Burris, Jr
James Camier
James Morris
James Robertson, Jr
James Robins
Janice Anderson
Jason Redman
Jeffry Vestal
Jennifer Eccles
Jesse Brown
Jessica Moore
Jesus Polanco
Jesus Rueda
Jody Craven
John Fuentes
John Sheffield
John Shirley
John T Smith
Johnny Brown
Jon Raborn, Sr
Jonathan Bunton
Jordan Kuhn
Jose Martinez, Jr
Juan Pedroza, Jr
Justin Ballenger
Justin Tyler, Jr
Katherine Contreras
Kelley McElhaney
Kimberly Kuhn
Latoia Ross
Lenette Cope
Leon Gordon
Leslie McBride
Linda Cassel
Linda Fruge
Linda Wornkey
Lisa Cox
Mark Grignon
Marvin Johnson, Jr
Matthew Ziegler
Maurice Bell, Sr
Melvin Baber, Jr
Michael Davis
Michael Luscier
Michael McCluskey
Michael Walker
Michael Winscher
Mildred Davis
Nancy Rivers
Nathanael Bonczek
Obrandon Keggler
Orion Rogers
Oscar Alvares
Patricio Sanchez, III
Patsy Green
Pauline Gebhard
Penny Hunt
Phillip Piolet
Princess Martin
Ramon Martinez
Ray Diaz
Ray Jackson
Reginald Welton
Richard Day, Jr
Richard Devore
Ricky Benoit
Robert Foley
Robert Kelley
Robert Kindred
Rodney Duncan
Ronald Dorsey
Ronald Thompson, Sr
Roosevelt Hervey, Jr
Royce Priestly, Jr
Rusvier Rodriguez Leon
Sabrina Korda
Sam Cole
Sandra Waddell
Sarah Lever
Shaeneeka Howie
Shawn Day
Shawn Heffner
Shea Meissner
Sheila Challenger
Shelia Davis
Shelley Innes
Skye Cornelius
Stacy Irving
Stephen Holmes
Susan Hradsky
Susie Liendo
Thomas Scharn
Timothy Shea
Toni Deleon
Tracy Conner
Tuana Mitchell
Ulysses Robinson, Jr
Valancia Comer
Valerie West
Vernon Rust
Veronica Martinez
Victor Hope
Virgil Flowers
Virginia Tucker
Warren Whitton
William Hilliard
William Huggins
William Jones
William Mitchell
William Pettry
Willard Tinch
Willie Ray, Sr
Willie Robertson
Woodrow Williams, Jr
Woody Brewer
Woody Robinson
Xanthippia Bradley Wilson
Zachary Bolden
Contractor Email (Copy of this Form will be sent to this email address)
Program Name
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Please Select
Art House
Building Hope
CF
Comm Cinema
Comm Inn
Comm Market
Communication
Community Empowerment
Community Events
CORP
ECommerce
Genesis Gardens
Grounds and Facilities
Neighbor Care
Phase III
Phase IV
Property Mgmt
Relationships and Giving
Replication
Restricted Fund
Ten Year Plan
Expense Account Name
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Please Select
Contract Labor
Home Maintenance Labor
Janitorial Labor
Landscape Labor
Micro-Ent COGS Commission
Other - "Account Not Found"
Move In Cleaning & Laundry
Move In Furniture & Essentials
Move In Other
Original Contract No.
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Effective Date of Cancellation
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Month
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Day
Year
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Cancellation Amount xx.00 (enter without negative sign)
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Reason for cancellation (be specific - include all details:)
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Supervisor Signature
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Supervisor Name
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Please Select
Alex Aspenleiter
Amanda Thacker
Austen Ramsey
Bonnie Watson
Brenda Brown
Charles Green
Courtney McDevitt
Dayna Palmer
Edward Travis
Ellis Johnston
Frazel Arredondo
Gabby Fuentes
Henna McRae
Jamie May
Jared Erb
Jerry Poyner
JM Stallings
Judea Atarji
Karen Yang
Katie Jacobs
Kevin Shepherd
Larisa Corder
Larry Crawford
Liz Barnard
Logan Pettyjohn
Lolita Reyes
Lorik Heilman
Mark Fittz
Mia Raineri
Michael Davis
Nickie Moncada
Rachel Chin
Rachel Ortiz
Robert Jones
Ronnie White
Sarah Dallas
Sarah Flaherty
Sherry Kleinert
Sydney Newton
Taylor Graham
Taylor Orsat
Thomas Aitchison
Thu Nguyen
Tricia Graham
Valerie Krygsheld
Venus Chin
Whitney Smith
William Hogan
Supervisor Title
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Please Select
Accounting Manager
Accounting Specialist
Aquaponic/Hydroponic Assistant
Art House Coordinator
Art House Manager
Asst Director of Community Empowerment
Asst Director of Neighbor Care
Asst Property Manager
COO
Facilities Manager
Groundskeeping Manager
Community Groundskeeper
Community Inn Coordinator
Community Inn Manager
Community Market Assistant
Community Market Coordinator
Director of Communications
Director of Community Empowerment
Director of Education
Director of Finance
Director of Grounds & Facilities
Director of Maintenance
Director of Property Management
Director of Neighbor Care
Event Manager
Faith Partnership Steward
Farmers Market & Harvest Coordinator
Genesis Gardens Coordinator
Genesis Gardens Manager
Healthy Home Coach
Home Prep Coordinator
Janitorial Coordinator
Move-In Assistant
Move-In Inventory Specialist
Move-In Manager
Neighbor Care Administrative Specialist
Neighbor Care Assistant
Neighbor Care Support Specialist
Neighbor Engagement Manager
Neighbor Engagement Specialist
Property Manager
Property Management Program Coordinator
Retail & eCommerce Manager
Special Projects Coordinator
Sr. Hospitality Manager
Supportive Services Manager
Supervisor's Email
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Date Signed
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Month
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Day
Year
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