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DocuSign <br /> Certificate Of Completion <br /> Envelope Id:2BA5E40AFF104F0EACB6711F2F7F2DFF Status:Completed <br /> Subject:City of Centerville Contract#C0009950 <br /> Source Envelope: <br /> Document Pages:5 Signatures:3 Envelope Originator: <br /> Certificate Pages:4 Initials:0 Angie Rodine <br /> AutoNav:Enabled Anoka County Government Center <br /> Envelopeld Stamping:Enabled 2100 3rd Avenue <br /> Time Zone:(UTC-06:00)Central Time(US&Canada) Anoka,MN 55303 <br /> angela.rodine@co.anoka.mn.us <br /> IP Address: 156.98.106.233 <br /> Record Tracking <br /> Status:Original Holder:Angie Rodine Location:DocuSign <br /> 4/25/2023 2:11:06 PM angela.rodine@co.anoka.mn.us <br /> Security Appliance Status:Connected Pool:StateLocal <br /> Storage Appliance Status:Connected Pool: HS-Public Health&Environmental Services Location:DocuSign <br /> Signer Events Signature Timestamp <br /> Mark Statz ,—DocuSlgned by Sent:4/25/2023 2:15:40 PM <br /> mstatz@centervillemn.com Viewed:4/25/2023 2:24:54 PM <br /> City Administrator/Engineer °DSAZDec4esa4n° Signed:4/25/2023 2:47:52 PM <br /> Security Level:Email,Account Authentication <br /> (None) Signature Adoption:Uploaded Signature Image <br /> Using IP Address: 199.249.109.13 <br /> Electronic Record and Signature Disclosure: <br /> Accepted:4/25/2023 2:24:54 PM <br /> ID:06c51625-a2d0-4571-a b27-a9461622d 750 <br /> Company Name:Anoka County <br /> Jonelle Hubbard -DocuSlgnedby Sent:4/25/2023 3:26:48 PM <br /> Jonelle.Hubbard@co.anoka.mn.us ,)6tAIVL hblocUri. Viewed:4/26/2023 2:52:59 PM <br /> ‘,—ose8eeAD7e0e44e <br /> Director Signed:4/26/2023 2:53:48 PM <br /> Anoka County Public Health and Environmental <br /> Services Signature Adoption:Pre-selected Style <br /> Security Level:Email,Account Authentication Using IP Address: 156.98.106.233 <br /> (None) <br /> Electronic Record and Signature Disclosure: <br /> Accepted:4/26/2023 2:52:59 PM <br /> ID:cd87670f-fecd-4c36-886f-1ca9ae2cb64c <br /> Company Name:Anoka County <br /> In Person Signer Events Signature Timestamp <br /> Editor Delivery Events Status Timestamp <br /> Angie Rodine VIEWED Sent:4/25/2023 2:47:53 PM <br /> angela.rodine@co.anoka.mn.us Viewed:4/25/2023 3:26:41 PM <br /> Administrative Secretary Completed:4/25/2023 3:26:47 PM <br /> Anoka County Using IP Address: 156.98.106.233 <br /> Security Level:Email,Account Authentication <br /> (None) <br /> Electronic Record and Signature Disclosure: <br /> Accepted: 1/8/2021 1:44:58 PM <br /> ID:6e2d50ad-740c-4672-beb3-aa4bab51e013 <br /> Company Name:Anoka County <br /> Agent Delivery Events Status Timestamp <br />