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UTHEUTI„IiV OF THIS DOCUMENT VOU MUS NOVER AND RUB THE RROMIBSOR LOGO WITH FINGER.AUTH DOCUMENT WILL CHANCE COLOR FROM ORANGE TO VELLU'.A� <br /> t• . <br /> UST Installation/Retrofitting <br /> LCTERNATIO..\'AI. <br /> • Cul)E COUNCIL. <br /> Promissor ID: XX4141013771 <br /> Name: ERIC MOLGAARD Date: 12/27/2004 <br /> Address: <br /> ; <br /> EXAMINATION RESULT: PASS <br /> Congratulations[ You have passed the UST Installation/Retrofitting examination. Your wallet card and certificate <br /> = will be forwarded to you by ICC within six weeks from the last day of the month in which you tested. This certificate <br /> is current for two years. <br /> It is extremely important that you notify Promissor and ICC of any changes in name and/or address to avoid the <br /> possibility of your certificate not being received. Please contact Promissor at 800-275-8301 and ICC at <br /> 877.783-3926 with changes to your name and address. There may be an additional fee if a certification is <br /> re-Issued due to a misspelled name or incorrect address. <br /> SC—ru7Gc, 7 <br /> Cep <br /> } <br /> • L <br /> ; <br /> _�31 OS S V3UV J3NUV0 HIIM 1HO1101 A8VO WOU3 AIN3A3 ONV AIIVnOVUO UO100 S30NVHD 1VH1 ONOOUO NOVB 03UOIOO illnW V SVH IN3Wn000 SIHI A0 30v 31:1 <br /> r:.SCYSE '14"v� � I <br />