This document certifies that an individual named Keisha Moore has successfully completed cognitive and skills evaluations for Basic Life Support in accordance with the American Heart Association curriculum. It was issued on September 17, 2016 by instructor Charles Masters at Instruction By Masters training center located in Houston, Texas. The certification is recommended to be renewed by September 2018.

1. B A S I C L I F E S U P P O R TB A S I C L I F E S U P P O R T
BLS
Provider
The above individual 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 Recommended Renewal Date
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.
Training
Center Name
Training
Center ID
TC Address
TC Phone
Instructor
Name
Instructor ID
© 2016 American Heart Association 15-3001 3/16
Directions
1. Cut along dotted lines
2. Fold both halves together
3. Use adhesive to combine halves
Instruction By Masters
Keisha Moore TX20717
2828 Rogerdale Rd Apt 1
Houston TX 77042 USA
(713) 706-3001
Charles Masters
09/17/2016 09/2018
05110010894