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Certificate Of Completion <br />Envelope Id: 96364D90180B4737A73C81COBF8B9651 <br />Subject: Please DocuSign: Amd 1 to Declaration - Delivery Fee Cap.docx <br />Source Envelope: <br />Document Pages: 2 Signatures: 1 <br />Certificate Pages: 5 Initials: 0 <br />AutoNav: Enabled <br />Envelopeld Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />Record Tracking <br />Status: Original <br />10/23/2020 1:14:18 PM <br />Security Appliance Status: Connected <br />Storage Appliance Status: Connected <br />Signer Events <br />Jeff Kay <br />jkay@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Accepted: 10/23/2020 3:02:55 PM <br />ID: f13314fd-72dd-44e5-9ccb-5f196c21elc3 <br />In Person Signer Events <br />Editor Delivery Events <br />Agent Delivery Events <br />Intermediary Delivery Events <br />Certified Delivery Events <br />Carbon Copy Events <br />Kelly Clancy <br />kclancy@sanleandro.org <br />Deputy City Clerk <br />City of San Leandro <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via DocuSign <br />Witness Events <br />Notary Events <br />Envelope Summary Events <br />Envelope Sent <br />Holder: Lars Halle <br />Ihalle@sanleandro.org <br />Pool: StateLocal <br />Pool: City of San Leandro <br />Signature <br />EDOCUSig-d by <br />C82A697MBA54E3... <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 68.94.226.74 <br />Signature <br />Status <br />Status <br />Status <br />Status <br />Status <br />COPIEd <br />Signature <br />Signature <br />Status <br />Hashed/Encrypted <br />Docu5�". <br />6 S E C U R E 6 <br />Status: Completed <br />Envelope Originator: <br />Lars Halle <br />835 E 14th St <br />San Leandro, CA 94577 <br />Ihalle@sanleandro.org <br />IP Address: 192.83.149.200 <br />Location: DocuSign <br />Location: DocuSign <br />Timestamp <br />Sent: 10/23/2020 1:24:06 PM <br />Viewed: 10/23/2020 3:02:55 PM <br />Signed: 10/23/2020 3:03:03 PM <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Sent: 10/23/2020 1:24:06 PM <br />Timestamp <br />Timestamp <br />Timestamps <br />10/23/2020 1:24:06 PM <br />