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3 6 2 S C[ D uY-+d v Sf — Nuq pdo G GY*11 CW 4 p 0,;1-0 3 D <br /> U ' r+2g00 f f <br /> EXAM FORM NO. 4628 <br /> rServSafe _u CERTIFICATE NO. 8200783 <br /> e <br /> ServS,afee <br /> TO RAFAEL GOMEZ <br /> for successfully completing the standards set forth for the ServSafe®Food Protection Manager Certification Examination, <br /> which is accredited by the American National Standards Institute (ANSI)—Conference for Food Protection (CFP). <br /> 7/1/2011 <br /> DATE OF EXAMINATION <br /> 7/1/2016 <br /> DATE OF EXPIRATION <br /> Local laws apply.Check with your local regulatory agency for recertification requirements. <br /> • <br /> ACCREDITED <br /> PROGRAM NATIONAL <br /> American National Standards Institute RESTAURANT <br /> and the Conference for Food Protection <br /> Paul Hineman ASSOCIATION® <br /> #0655 Executive Director, National Restaurant Association Solutions <br /> 02010 National Restaurant Association Educational Foundation.All rights reserved.ServSafe and the ServSafe logo are registered trademarks of the National Restaurant Association Educational Foundation, <br /> and used under license by National Restaurant Association Solutions,LLC,a wholly owned subsidiary of the National Restaurant Association. <br /> This document cannot be reproduced or altered. <br /> 10070201 v.1007 <br />