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Certificate Of Completion <br />Envelope Id: 2BA5E40AFF104FOEACB6711F2F7F2DFF <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 />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 />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 baeoS1pned6' Sent: 4/25/2023 2:15:40 PM <br />mstatz@centervillemn.com Viewed: 4/25/2023 2:24:54 PM <br />City Ad min istratorlEngineer cas�zceuesena°.. 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: 4125/2023 2:24:54 PM <br />ID: 06c51625-a2dO-457f-ab27-a9461622d750 <br />Company Name: Anoka County <br />Jonelle Hubbard <br />B .aer <br />Sent: 4/25/2023 3:26:48 PM <br />Jonelle.Hubbard@co.anoka.mn.us <br />�o <br />�puu u! {{ULiatt <br />Viewed: 4/2612023 2:52:59 PM <br />Director <br />Signed: 4/26/2023 2:53:48 PM <br />Anoka County Public Health and Environmental <br />Signature Adoption: Pre -selected Style <br />Services <br />Using IP Address: 156.98.106.233 <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 />Signature <br />Timestamp <br />Editor Delivery Events Status Timestamp <br />Angie Rodine Sent: 4/25/2023 2:47:53 PM <br />angela.rodine@co.anoka.mn.us VIEWED Viewed: 4/25/2023 3:26:41 PM <br />Administrative Secretary Completed: 4/2512023 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:6e2d5Oad-74oc-4672-beb3-aa4bab5le013 <br />Company Name: Anoka County <br />Agent Delivery Events Status Timestamp <br />