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Certificate Of Completion <br />Envelope Id: 261F4D27734E469E814E51F5463C016B Status: Completed <br />Subject: Complete with DocuSign: 2023 06 29 San Leandro PD Contract for Forensic Phlebotomy FOR UPLOAD (... <br />Source Envelope: <br />Document Pages: 15 Signatures: 7 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 /> 7/17/2023 10:08:18 AM <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 />Salustiano Ribeiro <br />salu@bayareapls.com <br />CEO <br />Bay Area PL Services <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 107.222.190.43 <br />Sent: 7/17/2023 10:45:56 AM <br />Viewed: 7/17/2023 10:46:43 AM <br />Signed: 7/17/2023 10:46:51 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/17/2023 10:46:43 AM <br /> ID: d4aea0bd-9500-43da-8074-0750d69e7587 <br />Jennifer Bloch <br />jennifer.bloch@bayareapls.com <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 24.16.146.196 <br />Sent: 7/17/2023 10:46:53 AM <br />Viewed: 7/17/2023 11:16:39 AM <br />Signed: 7/17/2023 11:16:47 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/3/2023 11:06:23 AM <br /> ID: b2fe7dd7-d6cc-488a-afde-bfb30f8ad87b <br />Luis Torres <br />LTorres@sanleandro.org <br />Assistant Police Chief <br />San Leandro Police Department <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Uploaded Signature Image <br />Using IP Address: 192.83.149.201 <br />Sent: 7/17/2023 11:16:49 AM <br />Viewed: 7/17/2023 11:43:46 AM <br />Signed: 7/17/2023 11:44:13 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 3/2/2021 11:12:48 AM <br /> ID: 4dd5e605-8fef-4268-b276-04fce9092447 <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: 7/17/2023 11:44:15 AM <br />Viewed: 7/17/2023 11:58:40 AM <br />Signed: 7/17/2023 12:00:56 PM <br />Electronic Record and Signature Disclosure: