Laserfiche WebLink
Certificate Of Completion <br />Envelope Id: 2BA5E40AFF1 04FOEACS671 I F2F7F2D FF <br />Subject: City of Centerville Contract# C0009950 <br />Source Envelope: <br />Document Pages: 5 Signatures: 3 <br />Certificate Pages: 4 Initials: 0 <br />AutoNav: Enabled <br />Envelopeld Stamping: Enabled <br />Time Zone: (UTC-06:00) Central Time (US & Canada) <br />Record Tracking <br />Status: Original <br />4/25/2023 2:11:06 PM <br />Security Appliance Status: Connected <br />Storage Appliance Status: Connected <br />Signer Events <br />Mark Statz <br />mstatz@centervillemn.com <br />City Administrator/Engineer <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Accepted: 4/25/2023 2:24:54 PM <br />ID: 06c51625-a2dO-457f-a b27-a9461622d7 50 <br />Company Name: Anoka County <br />Jonelle Hubbard <br />Jonetle_Hubbard@co.anoka.mn.us <br />Director <br />Anoka County Public Health and Environmental <br />Services <br />Security Level: Email, Account Authentication <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 <br />Editor Delivery Events <br />Angie Rodine <br />angels-rodine@ro.anoka.mn.us <br />Administrative Secretary <br />Anoka County <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-aa4bab5 i e013 <br />Company Name: Anoka County <br />Holder: Angie Rodine <br />angela.rodine@w.anoka.mn.us <br />Pool: StateLocal <br />Pool: HS-Public Health & Environmental Services <br />Signature <br />oocu ftmd by: <br />�� �- <br />C8542C5C4E$NAd... <br />Signature Adoption: Uploaded Signature Image <br />Using IP Address: 1 99.249. 109.13 <br />U..dhg rd by, <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 156.98.106.233 <br />Signature <br />Status <br />VIEWED l <br />Using IP Address: 156.98.106.233 <br />DocuSign, <br />Status: Completed <br />Envelope Originator: <br />Angie Rodine <br />Anoka County Government Center <br />2100 3rd Avenue <br />Anoka, MN 55303 <br />angela.rodine@co.anoka.mn.us <br />IP Address: 156.98.106.233 <br />Location: DocuSign <br />Location: DocuSign <br />Timestamp <br />Sent: 4/25/2023 2:15:40 PM <br />Viewed: 4/25/2023 2:24:54 PM <br />Signed: 4/25/2023 2:47:52 PM <br />Sent: 4/25/2023 3:26:48 PM <br />Viewed: 4/26/2023 2:52:59 PM <br />Signed: 4/26/2023 2:53:48 PM <br />Timestamp <br />Timestamp <br />Sent: 4/25/2023 2:47:53 PM <br />Viewed: 4/25/2023 3:26:41 PM <br />Completed: 4/2512023 3:26:47 PM <br />Agent Delivery Events Status Timestamp <br />