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DocuSignCertificateOfCompletionEnvelopeId:FF14B287E90C42B98A0FA14FA00E82AFStatus:SentSubject:DocuSignNOTIFICATION:ContractK2747-04&K4677-0IwithKittitasCountyPublicHealthSourceEnvelope:DocumentPages:37Signatures:2EnvelopeOriginator:CertificatePages:5Initials:0JanetStevensAutoNav:Enabled6268thAveSEEnvelopeldStamping:EnabledOlympia,WA98501TimeZone:(UTC-08:00)PacificTime(US&Canada)janet.stevens@hca.wa.govIPAddress:198.239.16.65RecordTrackingStatus:OriginalHolder:JanetStevensLocation:DocuSign6/2/20229:29:29AMjanet.stevens@hca.wa.govSignerEventsSignatureTimestampRachelleAmerine""Sent:6/2/20229:45:03AMrachelle.amerine@hca.wa.govViewed:6/3/20225:09:32AMContractsAdministrator71E1E£800774E7...Signed:6/3/20225:11:30AMCloudPWROBOWashingtonStateHealthCareSignatureAdoption:Pre-selectedStyleAuthority-SubAccount.Signedbylinksenttorachelle.amerine@hca.wa.govSecurityLevel:Email,AccountAuthentication(None)UsingIPAddress:198.239.13.95ElectronicRecordandSignatureDisclosure:NotOfferedviaDocuSignChelseyLoeffersSent:6/3/20225:11:33AMchelsey.loeffers@co.kittitas.wa.usViewed:6/13/20229:14:26AMPublicHealthDirectorSecurityLevel:Email,AccountAuthentication(None)ElectronicRecordandSignatureDisclosure:Accepted:6/13/20229:14:26AMID:311cb8e0-b362-4bbe-894e-84cde134a276InPersonSignerEventsSignatureTimestampEditorDeliveryEventsStatusTimestampAgentDeliveryEventsStatusTimestampIntermediaryDeliveryEventsStatusTimestampCertifiedDeliveryEventsStatusTimestampCarbonCopyEventsStatusTimestampLyudaKozlovaSent:6/2/20229:45:02AMlyudmila.kozlova@hac.wa.govCOPIED|SecurityLevel:Email,AccountAuthentication(None)ElectronicRecordandSignatureDisclosure:NotOfferedviaDocuSign