Ordinances-2019-455

Certificate Of Completion Envelope Id: A4112D068BDE40F09A4150107F518172 Subject: Please DocuSign: H-1 - Ordinance 2019-455 - Lot 59 Prairie Village OPD and Rezoning - R-4.docx Source Envelope: Document Pages: 3 Certificate Pages: 5 AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) Status: Completed Signatures: 3 Initials: 0 Envelope Originator: Abigail Hora 300 Railroad St PO Box 259 Tiffin, IA 52340 [email protected] IP Address: 69.63.16.128 Record Tracking Status: Original 5/22/2019 9:16:45 AM Holder: Abigail Hora [email protected] Location: DocuSign Signer Events Steve Berner [email protected] Security Level: Email, Account Authentication (None) Signature Steve Berner Signature Adoption: Pre-selected Style Using IP Address: 199.120.91.132 Timestamp Sent: 5/22/2019 9:17:20 AM Viewed: 5/22/2019 10:09:59 AM Signed: 5/22/2019 10:10:10 AM Electronic Record and Signature Disclosure: Accepted: 5/22/2019 10:09:59 AM ID: e1d93f8e-6a2b-4813-97ac-05468257569e ASHLEY PLATZ [email protected] Deputy City Clerk CITY OF TIFFIN, IOWA Security Level: Email, Account Authentication (None) Signature Signature Adoption: Uploaded Signature Image Using IP Address: 69.63.16.128 Sent: 5/22/2019 10:10:10 AM Viewed: 5/22/2019 10:40:22 AM Signed: 5/22/2019 10:40:26 AM 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 5/22/2019 10:10:10 AM