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Certificate Of Completion <br />Envelope Id: B7D431A8D5C54F918EE2BFC745D33909 Status: Completed <br />Subject: Complete with DocuSign: Mercy Retirement and Care Center (MRCC)_MOU_MBB Program_11012023.pdf <br />Source Envelope: <br />Document Pages: 7 Signatures: 2 Envelope Originator: <br />Certificate Pages: 5 Initials: 0 Pauline Tabilang <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 /> 12/6/2023 1:43:14 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 />Carla Sanchez <br />CSanchez@ElderCareAlliance.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 142.202.185.5 <br />Sent: 12/6/2023 1:50:01 PM <br />Resent: 12/12/2023 8:58:38 AM <br />Viewed: 12/13/2023 12:06:41 PM <br />Signed: 12/13/2023 12:07:10 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 12/13/2023 12:06:41 PM <br /> ID: 882c14bb-d922-4aaf-8d52-b834d1941a60 <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: 192.83.149.200 <br />Sent: 12/13/2023 12:07:12 PM <br />Viewed: 12/13/2023 1:03:27 PM <br />Signed: 12/13/2023 1:03:34 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 12/13/2023 1:03:27 PM <br /> ID: 9690ef4f-d9d9-4b90-abc1-9e83b4e8a8c1 <br />In Person Signer Events Signature Timestamp <br />Editor Delivery Events Status Timestamp <br />Agent Delivery Events Status Timestamp <br />Intermediary Delivery Events Status Timestamp <br />Certified Delivery Events Status Timestamp <br />Carbon Copy Events Status Timestamp <br />Redia Wright <br />rwright@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Sent: 12/13/2023 1:03:35 PM <br />Viewed: 12/15/2023 11:51:18 AM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via DocuSign