CERTIFICATE OF COMPLETIOND=5u ",
Ir SECURED
Certificate Of Completion
Envelope Id: 1 F69C053E85846AB965DDOB2DE622COC
Status: Completed
Subject: Please DocuSign: 1070 NE 105th St., Miami Shores - ABC - Rafter Reinforcement
Repair DSIGNED.pd...
Source Envelope:
Document Pages: 2 Signatures: 2
Envelope Originator:
Certificate Pages: 2 Initials: 0
Yen Luis Solis
AutoNav: Enabled
10735 SW 216 St
Envelopeld Stamping: Enabled
Unit #404
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Miami, FL 33170
yanluissolis@yahoo.com
IP Address: 73.85.246.236
Record Tracking
Status: Original
Holder: Yen Luis Solis
Location: DocuSign
2/17/2021 8:52:35 AM
yanluissolis@yahoo.com
Signer Events
Signature
Timestamp
Yan Luis Solis
edbr.
Sent: 2/17/2021 8:52:43 AM
yanluissolis@yahoo.com
` '�' Lwa �"¢
Viewed: 2/17/2021 8:52:50 AM
Engineer
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Signed: 2/17/2021 8:53:37 AM
Florida TEC
Freeform Signing
Security Level: Email, Account Authentication
Signature Adoption: Pre -selected Style
(None)
Using IP Address: 73.85.246.236
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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
Elthon COPIED
� RI Sent: 2/17/2021 8:53:37 AM
elthon@floridatec.net
Office Manager
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Will Ventress Sent: 2/17/2021 8:53:37 AM
will@paletzroofing.com COPIED
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events
Envelope Sent
Certified Delivered
Signing Complete
Completed
Status Timestamps
Hashed/Encrypted
2/17/2021 8:52:43 AM
Security Checked
2/17/2021 8:52:50 AM
Security Checked
2/17/2021 8:53:37 AM
Security Checked
2/17/2021 8:53:37 AM
Payment Events Status Timestamps