dcgov.seamlessdocs.com
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52.11.172.17
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Submitted URL: https://mail.seamlessdocs.com/ls/click?upn=tiYfEQ8nCl7PIDcScl-2B2WMKgRmo5lWSBvLv1W9EG-2FyY4YxY1-2FXE4NRjL5B9ieV2X9G45fk8rjd1sj...
Effective URL: https://dcgov.seamlessdocs.com/f/CO21071000261878579/eyJhcHBsaWNhdGlvbl9pZCI6IkFQMjEwOTEwMDAyODA1OTUxMzAiLCJzaWduZXIiOnsia2V5Ij...
Submission: On September 23 via manual from US — Scanned from DE
Effective URL: https://dcgov.seamlessdocs.com/f/CO21071000261878579/eyJhcHBsaWNhdGlvbl9pZCI6IkFQMjEwOTEwMDAyODA1OTUxMzAiLCJzaWduZXIiOnsia2V5Ij...
Submission: On September 23 via manual from US — Scanned from DE
Form analysis 3 forms found in the DOM
Name: DCHR Cellular Equipment Assignment Agreement_doc — POST https://dcgov.seamlessdocs.com/f/cellular_equipment_assignment_agreement
<form name="DCHR Cellular Equipment Assignment Agreement_doc" class="form_wrap" id="CO21071000261878574_doc" method="post" action="https://dcgov.seamlessdocs.com/f/cellular_equipment_assignment_agreement">
<input type="hidden" name="pdf_id" value="CO21071000261878574">
<input type="hidden" name="form_id" value="CO21071000261878579">
<input type="hidden" name="master_account_id" value="MA17011000023068069">
<input type="hidden" name="application_id" value="AP21091000280595130">
<input type="hidden" name="requestedClass" value="OdoFormsForms">
<input type="hidden" name="requestedMethod" value="submit">
<input type="hidden" name="thankyou_url" value="">
<input type="hidden" name="embed_type" value="">
<input type="hidden" name="uuid" value="U09jV6evOWoCHFwr7rCkzy">
<input type="hidden" name="referrer_url" value="">
<input type="hidden" name="sub_view_mode" value="userdefined">
<div class="page pdf active" id="Page1" style="background-image:url('https://cdn.seamlessdocs.com/doc_images/202107/d1ce8047d734de4d88cfff5978159346.png');">
<div class="permission_overlay"></div><span class="elem text" rel="gen_input_text_eMDAwt_0"><span calculation_field="MHC43LL/A" class="app_data"
style="width:110px !important;height:67px !important;font-size:12px !important;letter-spacing:normal !important;word-spacing:normal !important;color:#333333 !important;line-height:67px;">MHC43LL/A</span></span><span class="elem text"
rel="gen_input_text_f3LNX7_0"><span calculation_field="DX3FL4WDN72J" class="app_data" style="width:181px !important;height:67px !important;line-height:67px;">DX3FL4WDN72J</span></span><span class="elem text" rel="gen_input_text_Byxv07_0"><span
calculation_field="202-770-5212" class="app_data"
style="width:135px !important;height:67px !important;font-size:14px !important;letter-spacing:normal !important;word-spacing:normal !important;color:#333333 !important;line-height:67px;">202-770-5212</span></span><span class="elem text"
rel="gen_input_text_5T7YZC_0"><span calculation_field="$149.99" class="app_data" style="width:84px !important;height:67px !important;line-height:67px;">$149.99</span></span><span class="elem text" rel="gen_input_text_txCiw_0"><span
calculation_field="Iphone 11" class="app_data" style="width:160px !important;height:30px !important;line-height:30px;">Iphone 11</span></span><span class="elem text" rel="gen_input_text_8yUF17_0"><span calculation_field="" class="app_data"
style="width:160px !important;height:58px !important;line-height:58px;"></span></span><span class="elem text" rel="gen_input_text_D6Z1C4_0"><span calculation_field="" class="app_data"
style="width:110px !important;height:58px !important;line-height:58px;"></span></span><span class="elem text" rel="gen_input_text_MT7Bu3_0"><span calculation_field="" class="app_data"
style="width:178px !important;height:57px !important;line-height:57px;"></span></span><span class="elem text" rel="gen_input_text_4Gf263_0"><span calculation_field="" class="app_data"
style="width:135px !important;height:59px !important;font-size:14px !important;letter-spacing:normal !important;word-spacing:normal !important;color:#333333 !important;line-height:59px;"></span></span><span class="elem text"
rel="gen_input_text_HSST6r_0"><span calculation_field="" class="app_data" style="width:84px !important;height:55px !important;line-height:55px;"></span></span><span class="elem textarea" rel="gen_textarea_T3CQnm"><span
calculation_field="Kenneth Taylor" class="app_data" style="height:24px !important;width:168px !important;overflow:auto;">Kenneth Taylor</span></span>
<div class="elem" rel="gen_odosign_datesigned_Y8ETcn" style="top:113px; left:449px; width:200px; height:19px;">
<div class="signature_wrapper inactive" autodetected="f" rel="gen_odosign_datesigned_Y8ETcn" title="Lamont Williams"><span class="signer_elem datesigned signed" recipient_key="378ad46e3e44daae2a55277cde581d7b"
style="border-color:#2D31AB; background-color: rgba(45, 49, 171, 0.4);">09/22/2021</span></div>
</div>
<div class="elem" rel="gen_odosign_initials_4QQqV" style="top:221px; left:657px; width:42px; height:38px;">
<div class="signature_wrapper inactive" autodetected="f" rel="gen_odosign_initials_4QQqV" title="Lamont Williams"><span class="signer_elem initials signed" recipient_key="378ad46e3e44daae2a55277cde581d7b"
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<div class="elem" rel="gen_odosign_SignHere_aRjoOC_0" style="top:786px; left:100px; width:164px; height:32px;">
<div class="signature_wrapper" autodetected="t" rel="gen_odosign_SignHere_aRjoOC_0" title="Kenneth Taylor"><span class="signer_elem signhere" recipient_key="a1ca7690c3643f84eaedd0a5a816b4b1"
style="border-color: rgb(59, 250, 252); background-color: rgba(59, 250, 252, 0.4); cursor: pointer; visibility: visible; zoom: 1; opacity: 1;">Signature Here</span><input type="hidden"
name="esign_elems[a1ca7690c3643f84eaedd0a5a816b4b1][gen_odosign_SignHere_aRjoOC_0][type]" value="signhere"><span class="signerStamp">Click to Sign</span></div>
</div><span class="elem whiteout" rel="gen_div_whiteout_FvHGMU"><span calculation_field="" class="app_data" style="height:24px !important;width:336px !important;"></span></span>
<div class="elem" rel="gen_odosign_datesigned_QLg1sW" style="top:789px; left:449px; width:200px; height:19px;">
<div class="signature_wrapper" autodetected="f" rel="gen_odosign_datesigned_QLg1sW" title="Kenneth Taylor"><span class="signer_elem datesigned" recipient_key="a1ca7690c3643f84eaedd0a5a816b4b1"
style="border-color: rgb(59, 250, 252); background-color: rgba(59, 250, 252, 0.4); cursor: pointer; visibility: visible; zoom: 1; opacity: 1;">09/23/2021</span><input type="hidden"
name="esign_elems[a1ca7690c3643f84eaedd0a5a816b4b1][gen_odosign_datesigned_QLg1sW][type]" value="datesigned"><span class="signerStamp">Click to Sign</span></div>
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style="width:128px !important;height:18px !important;line-height:18px;"></span></span><span class="elem radio" rel="gen_input_radio_KWfVYO_0"><span calculation_field="" class="app_data"
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style="width:97px !important;height:15px !important;line-height:15px;"></span></span><span class="elem text" rel="gen_input_text_hEZzXl_0"><span calculation_field="" class="app_data"
style="width:84px !important;height:15px !important;line-height:15px;"></span></span><span class="elem text" rel="gen_input_text_1uBMaC_0"><span calculation_field="" class="app_data"
style="width:128px !important;height:15px !important;line-height:15px;"></span></span><span class="elem radio" rel="gen_input_radio_w7RDys_0"><span calculation_field="" class="app_data"
style="height:15px !important;width:15px !important;"></span></span><span class="elem radio" rel="gen_input_radio_BzKeIy_0"><span calculation_field="" class="app_data" style="height:15px !important;width:15px !important;"></span></span><span
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style="width:97px !important;height:15px !important;line-height:15px;"></span></span><span class="elem radio" rel="gen_input_radio_MoRzF_0"><span calculation_field="" class="app_data"
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class="app_data" style="width:84px !important;height:15px !important;line-height:15px;"></span></span><span class="elem text" rel="gen_input_text_PcnYSo_0"><span calculation_field="" class="app_data"
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<div class="elem" rel="gen_odosign_signhere_k2XaqW" style="top:987px; left:84px; width:164px; height:32px;">
<div class="signature_wrapper inactive" autodetected="f" rel="gen_odosign_signhere_k2XaqW" title="Lamont Williams"><span class="signer_elem signhere" recipient_key="cf778834493fe2f3e210151e104ffd71"
style="border-color:#B4A255; background-color: rgba(180, 162, 85, 0.4);">Signature Here</span><span class="signerStamp">Lamont Williams Will Sign Here</span></div>
</div>
<div class="elem" rel="gen_odosign_datesigned_0mCVDJ" style="top:996px; left:442px; width:200px; height:19px;">
<div class="signature_wrapper inactive" autodetected="f" rel="gen_odosign_datesigned_0mCVDJ" title="Lamont Williams"><span class="signer_elem datesigned" recipient_key="cf778834493fe2f3e210151e104ffd71"
style="border-color:#B4A255; background-color: rgba(180, 162, 85, 0.4);">09/23/2021</span></div>
</div>
</div>
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},
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},
"gen_div_whiteout_FvHGMU": {
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},
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},
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"name": "fieldgroup_ei1Q5d",
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},
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},
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},
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},
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},
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},
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},
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},
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},
"name": "fieldgroup_XMAiEK",
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</form>Text Content
Skip to form DEPARTMENT OF HUMAN RESOURCES dchr.it@dc.gov 1015 Half Street, SE, 9th Floor, Washington, DC 20003 (202) 442-9700 Document Signers * * 1DCHR IT * 2Employee * 3Lamont Williams * * PRINT DOCUMENT When you click Print below we will prepare a printable document for you. It will automatically download when it's ready. Did you know? You can fill in the document online and then click the print icon and all of your information will be populated in the printable document, saving you time later. SeamlessDocs MHC43LL/ADX3FL4WDN72J202-770-5212$149.99Iphone 11Kenneth Taylor 09/22/2021 LWSigned By: Lamont Williams Signature HereClick to Sign 09/23/2021Click to Sign Signature HereLamont Williams Will Sign Here 09/23/2021 disregard this CREATE YOUR SIGNATURE Please fill in your name and email and then either draw or type your signature below. x Full Legal Name Your Initials Email Signature Type Type Draw Upload Custom Clear Signature Created with Raphaël 2.1.0 Signature will be applied to the page. You will have a chance to review after signing. Check this box to continue I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent. x Additional Signatures Required Document Signers * * 1DCHR IT * 2Employee * 3Lamont Williams * * SIGN NOW! PLEASE PROVIDE ACCURATE INFORMATION BELOW TO ENSURE THE DELIVERY OF THE SIGNED COPIES OF THE DOCUMENT. Legal Full Name (as you would sign): Valid Email Address: