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5578 chapman - amend 5Accepted 160 Item Contract 5578 - Amendment 5 City of Denton Karen E. Smith 12/16/2016 Assistant Purchasing Manager Certificate Of Completion Envelope Id: C87E3B506AB242FE9233FB22F3043B07 Status: Completed Subject: Please DocuSign: 5578 CO5.pdf Source Envelope: Document Pages: 1 Signatures: 1 Envelope Originator: Certificate Pages: 1 Initials: 0 Karen E. Smith AutoNav: Enabled EnvelopeId Stamping: Disabled Time Zone: (UTC-06:00) Central Time (US & Canada) karen.smith@cityofdenton.com IP Address: 129.120.6.150 Record Tracking Status: Original 12/16/2016 11:54:25 AM Holder: Karen E. Smith karen.smith@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Karen E. Smith karen.smith@cityofdenton.com Assistant Purchasing Manager City of Denton Security Level: Email, Account Authentication (Optional) Using IP Address: 129.120.6.150 Sent: 12/16/2016 11:54:36 AM Viewed: 12/16/2016 11:54:41 AM Signed: 12/16/2016 11:56:23 AM Freeform Signing Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 12/16/2016 11:54:36 AM Certified Delivered Security Checked 12/16/2016 11:54:41 AM Signing Complete Security Checked 12/16/2016 11:56:23 AM Completed Security Checked 12/16/2016 11:56:23 AM