Laserfiche WebLink
Certificate Of Completion <br />Envelope Id: 2A6E934D83174167B1C719B516375FF2 Status: Completed <br />Subject: Please DocuSign: CSA Amendment Public Safety Family Counseling Group <br />Source Envelope: <br />Document Pages: 2 Signatures: 6 Envelope Originator: <br />Certificate Pages: 6 Initials: 0 Alexxa Monjaraz <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />835 E 14th St <br />San Leandro, CA 94577 <br />amonjaraz@sanleandro.org <br />IP Address: 192.83.149.201 <br />Record Tracking <br />Status: Original <br /> 5/30/2023 4:26:01 PM <br />Holder: Alexxa Monjaraz <br /> amonjaraz@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 />Elizabeth Dansie <br />bethdansie@psychservicesgroup.com <br />Owner <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Using IP Address: 104.9.149.127 <br />Sent: 5/30/2023 5:02:10 PM <br />Resent: 6/5/2023 1:32:06 PM <br />Viewed: 6/7/2023 2:30:56 PM <br />Signed: 6/7/2023 2:31:15 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/5/2021 9:35:08 AM <br /> ID: f31fb7f5-425c-4cb9-b3c1-2474ec9160b6 <br />Abdul Pridgen <br />apridgen@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Uploaded Signature Image <br />Using IP Address: 192.83.149.201 <br />Sent: 6/7/2023 2:31:17 PM <br />Viewed: 6/7/2023 2:43:30 PM <br />Signed: 6/7/2023 2:44:09 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/7/2023 2:43:30 PM <br /> ID: fdfe7bb9-4bae-4fc3-93b7-8c3398504f45 <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: 6/7/2023 2:44:11 PM <br />Viewed: 6/7/2023 10:32:29 PM <br />Signed: 6/7/2023 10:34:26 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/7/2023 10:32:29 PM <br /> ID: bc013f3f-f0bc-4e5d-9ec1-add10a04e57e <br />Mayette Bailey <br />mbailey@sanleandro.org <br />Signing Group: Finance Available Funds Check <br />Security Level: Email, Account Authentication <br />(None) <br />Completed <br />Using IP Address: 192.83.149.200 <br />Sent: 6/7/2023 10:34:28 PM <br />Viewed: 6/8/2023 10:33:32 AM <br />Signed: 6/20/2023 11:34:43 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 11/1/2022 9:01:21 AM <br /> ID: 3f00e764-6354-490c-8670-e07332d02d45