Orange County NC Website
Certificate Of Completion <br />Envelope Id: 8E95559652AA48B09CA67151DA1CCA51 Status: Completed <br />Subject: (24-0413) Psych-OrangeCounty.EXECUTABLE <br />Source Envelope: <br />Document Pages: 4 Signatures: 2 Envelope Originator: <br />Certificate Pages: 6 Initials: 2 London Lee <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-05:00) Eastern Time (US & Canada) <br />145 MacNider Hall <br />CB #7045 <br />Chapel Hill, NC 27599 <br />London_Lee@med.unc.edu <br />IP Address: 71.210.174.108 <br />Record Tracking <br />Status: Original <br /> 3/1/2024 1:44:13 PM <br />Holder: London Lee <br /> London_Lee@med.unc.edu <br />Location: DocuSign <br />Signer Events Signature Timestamp <br />Aaron Fisher <br />Aaron.Fisher@unchealth.unc.edu <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 136.56.205.184 <br />Sent: 3/1/2024 1:48:59 PM <br />Viewed: 3/1/2024 1:51:26 PM <br />Signed: 3/3/2024 1:51:37 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 3/1/2024 1:51:26 PM <br /> ID: b8b80838-ee4e-4e0a-a776-6fba592b4a47 <br />Matt Mauro <br />m_mauro@med.unc.edu <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 136.56.116.125 <br />Signed using mobile <br />Sent: 3/3/2024 1:51:39 PM <br />Viewed: 3/3/2024 9:11:39 PM <br />Signed: 3/3/2024 9:11:45 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 3/3/2024 9:11:39 PM <br /> ID: ecc34a8b-bb6a-4bf8-9d4d-acffb1724f8b <br />Bonnie Hammersley <br />bhammersley@orangecountync.gov <br />County Manager <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Using IP Address: 104.225.163.244 <br />Sent: 3/3/2024 9:11:47 PM <br />Viewed: 3/4/2024 8:48:54 AM <br />Signed: 3/4/2024 8:49:03 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 3/4/2024 8:48:54 AM <br /> ID: cd93633d-3717-41d2-9046-54416d9336d4 <br />Josephine Tetteh <br />jtetteh@email.unc.edu <br />Director, OPSCA <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Using IP Address: 75.189.129.4 <br />Sent: 3/4/2024 8:49:04 AM <br />Viewed: 3/4/2024 8:54:02 AM <br />Signed: 3/4/2024 8:54:09 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 3/4/2024 8:54:02 AM <br /> ID: e7521899-b80a-462b-9f37-ad87b6d03390 <br />DocuSign Envelope ID: E242BBC0-ED2C-4572-A062-A615C808E681