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0 docusign <br />Certificate Of Completion <br />Envelope Id: DA3FE4F5-F342-4945-ABB4-BEED2F416301 Status: Sent <br />Subject: Complete with Docusign: Agreement(APPROVED) - 4328687 - COUNTY OF INDIAN RIVER - BOARD OF COUNT... <br />Source Envelope: <br />Document Pages: 3 Signatures: 1 <br />Envelope Originator.. <br />Certificate Pages: 5 Initials: 0 <br />Gabrielle Mielz <br />AutoNav: Enabled <br />3050 Science Park D" <br />Envelopeld Stamping: Enabled <br />Beachwood, OH 44122 <br />Time Zone: (UTC -05:00) Eastern Time (US $ Canada) <br />mielzg@ccf.org <br />IP Address: 10.101.81.73 <br />Record Tracking <br />Status <br />Status: Original Holder: Gabrielle Mielz <br />Location: Docusign <br />5/1/2025 5:18:41 PM mielzg@ccf.org <br />Status <br />Signer Events <br />Kellie Hensley <br />henslek3@ccf.org <br />Regional Sr. Director of Community <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via Docusign <br />Michelle Wagner <br />mwagner@indianriver.gov <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Accepted: 5/12/2025 10:59:48 AM <br />ID:fc24bfab-5805-43d7-a9c4-7820f3d65edd <br />Signature <br />(—Signed V <br />LL[(tt, Nun S�c <br />AF04AD932A624C! <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 73.56.92.245 <br />Signed using mobile <br />Timestamp <br />Sent: 5/1/2025 5:19:30 PM <br />Viewed: 5/5/2025 7:12:02 AM <br />Signed: 5/5/2025 7:12:52 AM <br />Freeform Signing <br />Sent: 5/5/2025 7:12:53 AM <br />Viewed: 5/12/2025 10:59:48 AM <br />In Person Signer Eve is <br />9 <br />Signature <br />Timestamp <br />Editor Delivery Events <br />Status <br />Timestamp <br />Agent Delivery Events <br />Status <br />Timestamp <br />Intermediary Delivery Events <br />Status <br />Timestam <br />fW e e &ry- ven <br />Status <br />mes a <br />Carbon Copy Events <br />Status <br />Timestamp-- <br />Gabrielle Mielz <br />mielzg@ccf.org <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via Docusign <br />Law Department <br />CMSEvents@ccf.org <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via Docusign <br />