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Certificate Of Completion <br />Envelope Id: 6A0D0BC8A49546EFAC58BD666DA81516 Status: Completed <br />Subject: Please DocuSign: Davis Street Family Resource Center_CSA FY22-23.pdf <br />Source Envelope: <br />Document Pages: 20 Signatures: 6 Envelope Originator: <br />Certificate Pages: 6 Initials: 0 Kimberly Anderson <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & <br />Canada) <br />Stamps: 1 835 E 14th St <br />San Leandro, CA 94577 <br />kanderson@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 7/21/2022 2:12:25 PM <br />Holder: Kimberly Anderson <br /> kanderson@sanleandro.org <br />Location: DocuSign <br />Security Appliance Status: Connected Pool: StateLocal <br />Storage Appliance Status: Connected Pool: City of San Leandro Location: DocuSign <br />Signer Events Signature Timestamp <br />Rose Johnson <br />rjohnson@davisstreet.org <br />CEO <br />The Davis Street Community Center, Inc <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 162.208.64.142 <br />Sent: 7/21/2022 2:20:50 PM <br />Viewed: 7/22/2022 8:52:14 AM <br />Signed: 7/22/2022 8:52:48 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/22/2022 8:52:14 AM <br /> ID: ad687b89-dd9e-4c63-97e1-89ce75277b44 <br />Tom Liao <br />tliao@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 107.77.205.78 <br />Signed using mobile <br />Sent: 7/22/2022 8:52:51 AM <br />Viewed: 7/22/2022 11:35:38 AM <br />Signed: 7/22/2022 11:36:10 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/24/2020 7:37:06 PM <br /> ID: 66451328-d8e3-4b00-801f-2b5d10faf4e3 <br />Richard Pio Roda <br />rpioroda@meyersnave.com <br />Principal <br />Signing Group: City Attorney <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 206.169.145.130 <br />Sent: 7/22/2022 11:36:13 AM <br />Viewed: 7/22/2022 11:37:03 AM <br />Signed: 7/22/2022 11:38:34 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/22/2022 11:37:03 AM <br /> ID: 4b75da95-7482-4a0a-bcaf-bee57493aee7 <br />Susan Hsieh <br />shsieh@sanleandro.org <br />Finance Director <br />Signing Group: Budget and Compliance Manager <br />Security Level: Email, Account Authentication <br />(None) <br />Completed <br />Using IP Address: 192.83.149.200 <br />Sent: 7/22/2022 11:38:37 AM <br />Viewed: 7/22/2022 2:02:48 PM <br />Signed: 7/22/2022 2:04:02 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/22/2022 2:02:48 PM <br /> ID: 602e62c7-86fa-4b0c-a846-6aaa005525f2