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DocuSign <br />Gertificate Of Completion <br />Envelope ld: 86E0C8FBF6EA4B43BC1 D5E8B876FDC60 <br />Subject: Please DocuSign: Kittitas Shelter Program Grant Amendment A signed.pdf <br />Division: <br />Community Services and Housing <br />Program: Shelter Program <br />ConhactNumber: 21 -461 0C-1 09 <br />DocumentType: <br />Contract Amendment <br />Source Envelope: <br />Document Pages: 2 Signatures: 1 <br />Certificate Pages: 2 lnitials: 0 <br />AutoNav: Enabled <br />Envelopeld Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />Record Tracking <br />Status: Original <br />11312022 1:03:51 PM <br />Security Appliance Status: Connected <br />Storage Appliance Status: Connected <br />Signer Events <br />Diane Klontz <br />diane. klontz@commerce.wa.gov <br />Assistant Director <br />Washington State Department of Commerce <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure <br />Not Offered via DocuSign <br />ln Person Signer Events <br />Editor Delivery Events <br />Agent Delivery Events <br />lntermediary Delivery Events <br />Certified Delivery Events <br />Kathy Kinard <br />Kathy. Kina rd@commerce.wa. gov <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure <br />Not Offered via DocuSign <br />Holder: Megan Kendig <br />megan.kendig@commerce.wa.gov <br />Pool: StateLocal <br />Pool: Washington State Department of Commerce <br />Signature <br />Status: Completed <br />Envelope Originator: <br />Megan Kendig <br />1011 Plum Street SE <br />MS 42525 <br />Olympia, WA 98504-2525 <br />megan.kendig@commerce.wa.gov <br />IP Address: 1 98.239.1 0.165 <br />Location: DocuSign <br />Location: DocuSign <br />Timestamp <br />Senl: 11312022 2:1214 PM <br />Viewed: 11312022 2:59:'17 PM <br />Signed: 11312022 2:59:23 PM <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Senl: 11312022 1:06:59 PM <br />Viewed: 11312022 1:58:09 PM <br />P#,,.*,,r, <br />Signature Adoption: Pre-selected Style <br />Using lP Address: 147.55.149.242 <br />Signature <br />Status <br />Status <br />Status <br />Status <br />VIEWED <br />Using lP Address: 198.239.10.147