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DocUSign' <br /> C rtte fate Of Compietion <br /> Envelope Id:1A2BDC41FD98412DACED1693F5FD3FF0 Status:Completed <br /> Subject:Complete with DocuSign:SEPTIC AUTHORIZATION NOTICE APPLICATION INSTRUCTIONS.pdf <br /> Source Envelope: <br /> Document Pages:3 Signatures:1 Envelope Originator: <br /> Certificate Pages:5 Initials:3 Caitlin Heaney <br /> AutoNav:Enabled 2 Westbrook Corp Center <br /> Envelopeld Stamping:Enabled Suite 500 <br /> • <br /> Time Zone:(UTC-06:00)Central Time(US&Canada) Westchester,IL 50154 <br /> Caitlin.Heaney@IAAl.com <br /> IP Address:205.159.44.129 <br /> Record.Trackmg <br /> Status:Original Holder:Caitlin Heaney Location:DocuSign <br /> 11/22/2022 4:18:54 PM Caitlin.Heaney@IAAI.com <br /> SignerEvents Signature Ttmestamp <br /> Ania Domagala-Pierga °S Sent:11/22/2022 4:20:27 PM <br /> ania.dpierga@iaai.com Viewed:11/22/2022 4:20:53 PM <br /> Sr Real Estate Counsel Signed:11/22/2022 4:20:59 PM <br /> IAA <br /> Security Level:Email,Account Authentication <br /> Signature Adoption:Uploaded Signature Image <br /> (None) Using IP Address:73.208.185.97 <br /> • <br /> Electronic Record and Signature Disclosure: <br /> Accepted:3/28/2022 11:07:34 AM <br /> ID:91338ea4-f479-401b-bf29-78a0ac9df2e1 <br /> John Kett �OaeuS1gn1Iadb"' Sent:11/22/2022 4:20:28 PM <br /> jkett@IAAl.comT Viewed:11/22/2022 4:21:25 PM <br /> CEO and President F00ee05cFn274e0... Signed: 11/22/2022 4:21:31 PM <br /> CEO and President <br /> Security Level:Email,Account Authentication Signature Adoption:Pre selected Style <br /> (None) Using IP Address:108.160.205.106 <br /> Electronic Record and Signature Disclosure: <br /> Accepted:3/29/2022 3:47:16 PM <br /> ID:01b31d59-ad0f-4205-a9ee-6ffe6ce0ba0d <br /> in Person Signer'Events; .,T _._.. Signature . Timestarr> <br /> Editor Delivery Events "Status imestamp <br /> Agent Delivery is Status ? Timestamp <br /> e� <br /> • <br /> Interrtiediary Dehvey Events• <br /> StatusTimestap _ .. ._ ._......na—w' <br /> 5 <br /> Certified Delivery Events >Status Timestamp <br /> Carbon Copy Events Status Timestamp `v <br /> C111itness Events Signature Tlmestamp <br /> Nota y Everts g ature r . r <br /> Timesf arnp -t <br /> Envelope Sumrnay Events Status Timestamps <br /> 3.r ..�...,..w.w ..;t. .,YS$L1�.,.x, -.., ...............«. w .... ��_cwA ..w<...... „.�,._.a..�.x.,.w...m'a ,._J.,._�._.. ..�:�a.a..Y......._m......-,._......+..w,,.'1..�...,...w.:....e... . <br /> Envelope Sent Hashed/Encrypted 11/22/2022 4:20:28 PM <br />