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.1u�AUT NTICITY OF THIS DOCUMENT YOU MUS�N OVER AND RUB THE PflOM15SOR lOGO WITH FINGER RUTH DOCUMENT WILL CHANGE COLOR FnOM ORANGE 70 YE11C .� <br /> w 3 <br /> 3t <br /> UST Installation/Retrofitting. <br /> INTERNATIONAL <br /> C0141100101.1 et. <br /> Promissor ID: XX4141014045 - <br /> Name: MARK HENDERSON Date: 12/20/2004 <br /> Address: <br /> <br /> <br /> EXAMINATION RESULT:'PASS" ' <br /> Congratulalionsl You have passed the UST Installallon/Retrofitling examlhation. 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 ce i�fic le <br /> is current for two years. <br /> � ,. <br /> It is extremely Important that you notify Promissor and ICC of any changes In nam@ 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 /> 877-7833928 with changes to your name and address. There may bean additional fee if a certification is <br /> re-Issued due to a misspelled name or Incorrect address. <br /> c. <br /> si <br /> t � <br /> y <br /> _�^e G'd ia31 ni05 5v3tltl tlSMBtlO H1IM 1HOI101 AtltlD WOtl!AlN3A30Ntl A1�tld0Y D tlb100 S30NVHO 1tlH10NpOHONOVF)03u0T00111nW tl StlH 1N3Wn000 SIN1 i0 30Vi 3Ht <br />