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Consent Form

Uploaded by

austinwoodsemperfidelis
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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25 views1 page

Consent Form

Uploaded by

austinwoodsemperfidelis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REFERENCE NUMBER

DEBD3E4B-DB27-43B6-90CD-8D6B86CEBD27
S I G N AT U R E C E R T I F I CAT E

TRANSACTION DETAILS DOCUMENT DETAILS


Reference Number Document Name
DEBD3E4B-DB27-43B6-90CD-8D6B86CEBD27 C4S Owner-Performer Consent Form
Transaction Type Filename
Template Signer Link Owner_Performer_Consent_Form.pdf
Sent At Pages
11/06/2024 12:34 EST 1 page
Executed At Content Type
11/06/2024 12:37 EST application/pdf
Identity Method File Size
email 22.9 KB
Distribution Method Original Checksum
manual 4898242755c6cfb33c3b7f96f6d225a323b91469536e0d4f0643f4b8dc48cfbe
Signed Checksum
d5df185596cf963cceb66802a4f4fc55334f16454d274670f5bb7a48c09d23c4

Signer Sequencing
Disabled
Document Passcode
Disabled

SIG N ER S
SIGNER E-SIGNATURE EVENTS
Name Status Viewed At
Austin Wood signed 11/06/2024 12:34 EST
Email Multi-factor Digital Fingerprint Checksum Identity Authenticated At
[email protected] 155462afff24da487912e784d681682832f9cfa768f8f18b52326e00c5e93459 11/06/2024 12:37 EST
Components IP Address Signed At
8 104.28.85.233 11/06/2024 12:37 EST
Device
Mobile Safari via iOS
Drawn Signature

Signature Reference ID
71164077
Signature Biometric Count
1

AU D IT S
TIMESTAMP AUDIT
11/06/2024 12:34 EST Signer viewed the document on Mobile Safari via iOS from 104.28.85.232.
11/06/2024 12:36 EST Austin Wood ([email protected]) signed the document on Mobile Safari via iOS from 104.28.85.233.
11/06/2024 12:37 EST Austin Wood ([email protected]) was requested to verify their identity.
11/06/2024 12:37 EST Austin Wood ([email protected]) authenticated via email on Mobile Safari via iOS from 104.28.85.230.

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