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Certificate Of Completion <br />Envelope Id: 89F57F6FD0CE458386C221479BFFCC75 Status: Completed <br />Subject: Complete DocuSign A14151 H56: 24 03 15 WakeMed Simulation Service Agreement and COI.pdf <br />Source Envelope: <br />Document Pages: 10 Signatures: 1 Envelope Originator: <br />Certificate Pages: 5 Initials: 0 Wendy Celaya <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-05:00) Eastern Time (US & Canada) <br />3000 New Bern Avenue <br />Raleigh, NC 27610 <br />wcelaya@wakemed.org <br />IP Address: 216.77.41.249 <br />Record Tracking <br />Status: Original <br /> 5/6/2024 3:30:37 PM <br />Holder: Wendy Celaya <br /> wcelaya@wakemed.org <br />Location: DocuSign <br />Signer Events Signature Timestamp <br />Rebecca Andrews <br />BAndrews@wakemed.org <br />SVP and Administrator <br />WakeMed <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 216.77.41.249 <br />Sent: 5/6/2024 3:33:25 PM <br />Viewed: 5/6/2024 5:20:14 PM <br />Signed: 5/6/2024 5:21:20 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 9/12/2019 2:10:30 PM <br /> ID: 01de5484-c959-4e0d-b7db-ed75dfc9706a <br />In Person Signer Events Signature Timestamp <br />Editor Delivery Events Status Timestamp <br />Agent Delivery Events Status Timestamp <br />Intermediary Delivery Events Status Timestamp <br />Certified Delivery Events Status Timestamp <br />Carbon Copy Events Status Timestamp <br />Kevin Parrish <br />kparrish@wakemed.org <br />Security Level: Email, Account Authentication <br />(None) <br />Sent: 5/6/2024 5:21:21 PM <br />Viewed: 5/6/2024 5:30:16 PM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via DocuSign <br />Witness Events Signature Timestamp <br />Notary Events Signature Timestamp <br />Envelope Summary Events Status Timestamps <br />Envelope Sent Hashed/Encrypted 5/6/2024 3:33:25 PM <br />Certified Delivered Security Checked 5/6/2024 5:20:14 PM <br />Signing Complete Security Checked 5/6/2024 5:21:20 PM <br />Completed Security Checked 5/6/2024 5:21:21 PM <br />Payment Events Status Timestamps <br />DocuSign Envelope ID: 9429D437-A873-4762-A3F0-983DC515AA25