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0 docusign. <br /> Certificate Of Completion <br /> Envelope Id:FA6A2103-9CB7-43F8-92FD-F6CBE7F74F2D Status:Completed <br /> Subject:HHS001454300039_City of San Marcos_WWTP_MOU <br /> Source Envelope: <br /> Document Pages:5 Signatures: 1 Envelope Originator: <br /> Certificate Pages:2 Initials:0 CMS Internal Routing Mailbox <br /> AutoNav:Enabled 11493 Sunset Hills Road <br /> Envelopeld Stamping:Enabled #100 <br /> Time Zone:(UTC-06:00)Central Time(US&Canada) Reston,VA 20190 <br /> CMS.InternalRouting@dshs.texas.gov <br /> IP Address: 167.137.1.16 <br /> Record Tracking <br /> Status:Original Holder:CMS Internal Routing Mailbox Location:DocuSign <br /> 6/3/2025 11:07:39 AM CMS.InternalRouting@dshs.texas.gov <br /> Signer Events Signature Timestamp <br /> Helen Whittington Completed Sent:6/3/2025 11:20:10 AM <br /> helen.whittington@dshs.texas.gov Viewed:6/3/2025 11:22:11 AM <br /> Contract Specialist Signed:6/3/2025 11:24:26 AM <br /> Security Level:Email,Account Authentication Using IP Address: 167.137.1.16 <br /> (None) <br /> Electronic Record and Signature Disclosure: <br /> Not Offered via Docusign <br /> Susana Garcia Completed Sent:6/3/2025 11:24:28 AM <br /> Susana.Garcia@dshs.texas.gov Viewed:6/3/2025 11:33:07 AM <br /> CTCM,Unit Director Signed:6/3/2025 11:33:42 AM <br /> DSHS Using IP Address: 167.137.1.12 <br /> Security Level:Email,Account Authentication <br /> (None) <br /> Electronic Record and Signature Disclosure: <br /> Not Offered via Docusign <br /> PATTY MELCHIOR Completed Sent:6/3/2025 11:33:43 AM <br /> Patty.Melchior@dshs.texas.gov Viewed:6/3/2025 3:59:01 PM <br /> Patricia Melchior,Director,DSHS CMS Signed:6/3/2025 3:59:24 PM <br /> Security Level:Email,Account Authentication Using IP Address: 167.137.1.14 <br /> (None) <br /> Electronic Record and Signature Disclosure: <br /> Not Offered via Docusign <br /> Mande Hall,M.D. °yi Sent:6/3/2025 3:59:26 PM <br /> [DI-SigIld <br /> t aan a <br /> manda.hall@dshs.texas.gov W1 ll�tt v, Viewed:6/3/2025 4:28:25 PM <br /> Deputy Commissioner,Community Health 202CEnen9c1e4E2 Signed:6/3/2025 4:29:14 PM <br /> Improvement <br /> Texas Health and Human Services Commission Signature Adoption:Pre selected Style <br /> Security Level:Email,Account Authentication Using IP Address: 167.137.1.12 <br /> (None) <br /> Electronic Record and Signature Disclosure: <br /> Not Offered via Docusign <br /> In Person Signer Events Signature Timestamp <br /> Editor Delivery Events Status Timestamp <br /> Agent Delivery Events Status Timestamp <br />