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Created: <br />By: <br />Status: <br />Transaction lD: <br />2022-06-30 <br />Brenda Henrikson (Brenda.Henrikson@DOH.WA.GOV) <br />Signed <br />CBJCHBCAABAA0HSPIjTQ4h la-I40XYGEScffrlgdjRV6 <br />CLH31015 Kittitas Amend #5 <br />FinalAudit Report 2022-O8-08 <br />"CLH31015 Kittitas Amend #5" History <br />fr Docur"nt created by Brenda Henrikson (Brenda.Henrikson@DOH.WA.GOV) <br />2022-06-30 - 8:25:16 PM GMT- lP address: 192.230.13.106 <br />4 Document emailed to candi. blackford@co. kittitas.wa.us for signature <br />2022-06-30 - 8:26:05 PM GMT <br />fi Email viewed by candi.blackford@co.kittitas.wa.us <br />2022-06-30 - 8'27'.07 PM GMT- lP address: 66.243.254.18 <br />fl Emait viewed by candi.blackford@co.kittitas.wa.us <br />2022-08-05 - 4:18:28 PM GMT- lP address: 66.243.254.18 <br />/s Signer candi.blackford@co.kittitas.wa.us entered name at signing as Chelsey Loeffers <br />2022-08-05 - 11:18:43 PM GMT- lP address: 66.243.254.18 <br />ds Document e-signed by Chelsey Loeffers (candi.blackford@co.kittitas.wa.us) <br />Signature Date:2022-O8-05 - 1'1 :18:44 PM GMT - Time Source: server- lP address: 66.243.254.18 <br />B Document emailed to Brenda Henrikson (Brenda.Henrikson@DOH.WA.GOV) for signature <br />2O22-08-OS - 11:18:46 PM GMT <br />*s Document e-sig ned by Brenda Henrikson (Brenda. Henrikson@DOH.WA.GOV) <br />Signature Date:2022-08-08 - 2:23:21 PM GMT - Time Source: server- lP address: 75.172.118.98 <br />g Agreement completed. <br />2O22-O8-O8 - 2:23:21 PM GMT <br />ffnffiiffi I <br />Porr'€red by <br />Adobc <br />Acrobat Sign