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Certificate Of Completion <br />Envelope Id: 7641407B50E6483BA9CD588F07A5B32B Status: Completed <br />Subject: Complete with DocuSign: FVLC_CSA_CAPGrant FY23-25_07012023 <br />Source Envelope: <br />Document Pages: 21 Signatures: 6 Envelope Originator: <br />Supplemental Document Pages: 1 Initials: 0 Pauline Tabilang <br />Certificate Pages: 6 <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 />ptabilang@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 8/23/2023 3:27:58 PM <br />Holder: Pauline Tabilang <br /> ptabilang@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 />Erin Scott <br />escott@fvlc.org <br />Executive Director <br />Family Violence Law Center <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 23.93.22.19 <br />Sent: 8/23/2023 3:43:07 PM <br />Viewed: 8/23/2023 3:59:23 PM <br />Signed: 8/23/2023 3:59:48 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/23/2023 3:59:23 PM <br /> ID: 9dc832bb-8a7f-4b97-b5ac-06f096b6b9bd <br />Jessica Lobedan <br />JLobedan@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 68.94.226.62 <br />Sent: 8/23/2023 3:59:50 PM <br />Viewed: 8/23/2023 4:06:42 PM <br />Signed: 8/23/2023 4:07:09 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/23/2023 4:06:42 PM <br /> ID: c023239e-aec1-48ae-a039-0f2af2d66cfb <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: 8/23/2023 4:07:11 PM <br />Viewed: 8/24/2023 7:08:50 PM <br />Signed: 8/24/2023 7:10:58 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/24/2023 7:08:50 PM <br /> ID: ec894083-c96f-4d6a-9368-fac9b225978e <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: 174.194.192.147 <br />Sent: 8/24/2023 7:11:01 PM <br />Viewed: 8/26/2023 3:15:21 PM <br />Signed: 8/26/2023 3:51:38 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 11/1/2022 9:01:21 AM <br /> ID: 3f00e764-6354-490c-8670-e07332d02d45