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Certificate Of Completion <br />Envelope Id: 0EA31D882DDC4957A4F264657E1CDBD4 Status: Completed <br />Subject: CDBG Public Services contract for KIttitas County Amendment B <br />Division: <br />Local Government <br />Program: CDBG Public Services <br />ContractNumber: 22-62210-008 <br />DocumentType: <br />Contract Amendment <br />Source Envelope: <br />Document Pages: 2 Signatures: 1 Envelope Originator: <br />Certificate Pages: 2 Initials: 4 Roberta Golden <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />1011 Plum Street SE <br />MS 42525 <br />Olympia, WA 98504-2525 <br />roberta.golden@commerce.wa.gov <br />IP Address: 198.239.106.159 <br />Record Tracking <br />Status: Original <br /> 6/21/2024 12:22:14 PM <br />Holder: Roberta Golden <br /> roberta.golden@commerce.wa.gov <br />Location: DocuSign <br />Security Appliance Status: Connected Pool: StateLocal <br />Storage Appliance Status: Connected Pool: Washington State Department of Commerce Location: DocuSign <br />Signer Events Signature Timestamp <br />Jon Galow <br />jon.galow@commerce.wa.gov <br />Security Level: Email, Account Authentication <br />(None), Login with SSO <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 147.55.134.36 <br />Sent: 6/21/2024 12:25:21 PM <br />Viewed: 6/21/2024 12:27:22 PM <br />Signed: 6/21/2024 12:47:05 PM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via DocuSign <br />Geoffrey Bracken <br />geoffrey.bracken@commerce.wa.gov <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 198.239.106.152 <br />Sent: 6/21/2024 12:47:06 PM <br />Viewed: 6/21/2024 12:52:49 PM <br />Signed: 6/21/2024 12:52:57 PM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via DocuSign <br />Christopher McCord <br />chris.mccord@commerce.wa.gov <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 198.239.10.147 <br />Sent: 6/21/2024 12:52:59 PM <br />Viewed: 6/24/2024 8:44:02 AM <br />Signed: 6/24/2024 8:44:41 AM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via DocuSign