The document confirms that an individual has successfully completed the American Heart Association's Basic Life Support (CPR and AED) program. It includes various details such as issue date, training center information, instructor name, and a QR code for verification. The recommended renewal date for the certification is January 2019.

1. To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.heart.org/cpr/mycards.
© 2016 American Heart Association. All rights reserved. 15-3001 3/16
BLS
Provider
B A S I C L I F E S U P P O R T
has successfully completed the cognitive and skills
evaluations in accordance with the curriculum of the
American Heart Association Basic Life Support
(CPR and AED) Program.
Issue Date
Training Center Name
Training Center ID
Recommended Renewal Date
Instructor Name
Instructor ID
eCard Code
QR Code
Training Center Address
Training Center Phone
Number
Martin McNichols
01/11/2017 01/2019
F M Ambulance Service Brandon Wehner
05160468764
ND05536
165509980747
2215 18th Street South
Fargo ND 58103-5105 USA
(701) 364-1738