EMS Course Completion Certificate Template - Green - Download as PDF by irues2342

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									                              Training Agency Name
                                          Training Course Location
                            DOH-OEMSTS EMS Course Number I05-34-003

                                                 This is to Verify

                                     Recipients Full Name
Successfully Completed the following Washington State Department of Health approved course:

                      Emergency Medical Technician - Basic
                                     Date of Completion: July 1, 2005
                   This document does not grant Washington State Certification

          John H. Doe                     0000000
Senior EMS Instructor Printed Name   DOH Registry Number        Senior EMS Instructor Signature   Date


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