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Home My WebLink About2005-094 Ambulance License CITY OF ASHLAND Antbulance Operator's License License issued to: City of Ashland Fire and Rescue Department Licensee has met all requirements of AMC Chapter 6.40 License expires June 30, 2006 ~ i2:~ Barbara Christensen, City Recorder/Treasurer CITY OF ASHLAND APPLICATION FOR AMBULANCE OPERATOR LICENSE AMC Ch. 6. 6.40 Applicant's Name: CITY OF ASHLAND Trade Name, if any: ASHLAND FIRE & RESCUE Address: 455 Siskiyou Boulevard Ashland OR 97520 Telephone number: (541) 482-2770 Ambulance descriptions Manufacturer Vin # License # 1. 1985 BRAUN BRAUN 1FDJE30L8FHA49888 EXEMPT 2. 1992 FORD WHEELED 1 FDJS34M4NHA34394 EXEMPT COACH 3. 1992 FORD LIFELINE 1 FDKE30M7PHA05945 EXEMPT 4. 1996 FORD LIFELINE 1 FDKE30F8THA48282 EXEMPT 5. 1999 FORD LIFELINE 1FDXE40F2XHA00469 EXEMPT 6. 2002 FORD LIFELINE 1FDXF47F63EA10341 EXEMPT o Attach information showing that every proposed driver, attendant and driver- attendant is qualified as required in Ashland Municipal Code Chapter 13.40 and as required by the laws of the State of Oregon. o Enclose with the application, the initial license fee of $300 plus $100 per ambulance. o Enclose a performance bond in the amount of $500,000. o Enclose an insurance policy meeting the requirements of AMC S6.40.11 0.7. Attach additional pages as necessary. Explain any box not checked. Submit your application and required enclosures to Barbara Christensen, City Recorder, City Hall, 20 East Main Street, Ashland, Oregon 97520. I certify that each ambulance listed above is adequate and safe for the purposes for which it is to be used and that it is equipped as required by Ashland Municipal Code Chapter 6.40 and the laws of the State of Oregon. S ig natu re: 7['f.A,{;./l,.. I- L-,./ Y?/7~~~ P~in~ name: 0 ; h. J; C.' t,r./t't' 4/ eV Title. r7;,. e~ - y Date: rF-',1'- r- h?~ "/ .z (}lJS- H :\Am bulance\APPLI CA. FLE\2005\AM BAPP .doc May 16, 2003 02/24/2005 THU 10:57 FAX 541 552 2092 City of Ashland Legal~-j-j Fire Dept. ~UUl/UUl NAMED MEMBER City of Ashland 20 East Main street Ashland, OR 97520 THIS CERTIFICATE IS ISSUEOAS A MATIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERfIFICAlE HOLDER OTHER THAN THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE DOES NOT AMEND, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE COVERAGE DOCUMENTS LISTED HEREIN: COMPANIES AFFORD[NC:~ COVERAGE COMPANY A ~ City County Insurance Services (CIS) COMPANY B ~ Fidelity and Deposit of Maryland COMPANY C - NLC Mutual This is to certify that coverage documen~ listad herein have been Issued to fha Named Member herein for the Cove~ge period Indicated. Not wIthstanding any requirement. term Or conditIon of any contract or Other document with respect to which the eertific.ate may be issued or may pertain, the coverage afforded by the coverage documents listed herefn Is subject to alllhe tflrms. condltJons and exclusloM of such coverage documents_ co Type of Coverage LTR' A Genoral Liability Commerelal General LiablHty Public OfficIals LIability ~ployment Proctlces Occurrence A Scheduled Autos Hired Autos Non--Qwr,ed AUlOS A Auto Physical Damage Scheduled AU10S Hired Autos Non..Qwned Autos A Property A Boilet and Machinery B Excess Crime C Ex~ss Earthquake C Excess Flood A Workers" Compensation DESCRIPTION: I r:ERTIFICA TE; HOLDER Certificate # Effective Date Expiration Date L.lmIts 04LASH 7/1/2004 7/1/2005 General Aggregate Each Occurrence None $1,000,000 04LASH 7/1/2004 7/1/2005 General Aggregate Each Occurrence None $1.000,000 04APDASH 7/112004 7/1/2005 04PASH 04BASH 7/1/2004 7/1/2005 7/112005 Per Filed Values 7/1/2004 Per Filed Values CANCELLATION: Should Bny of the covcr.lga dO(:uments herein be~ cancelled before tho expiration date thCfQof. CIS will endeavor to provide 30 days wrlttelrl notice to the certlflcato holdor ~med hereIn. but failure, to mall such notice tiihalllmpose no obligation or lIabllUy of any kind upon CIS. Its ~gcnts or representatives. or the Issuer of this. ct~rtlflcate. By: ~"'-- Data~ ~~~. ' . ~~'" ~ 'J.. ~~'.~ ~.' ~ ~.~. ~ ~. "'. "'. '. ~... r--J....-, ,~ .. ~~~\, ~i(, ~OJ ".. ~ ~{~. ~.~ ~~\,~ ~ ''"' '.J'~ ~ ' ~ "0 t> 0 ::1 'C uW e 0.. o (l) O..c I... +-' o l- eJ2 o ._ c-$ l- 0 COw 0..0 .~-g w:9 g't3 O)(/) e Q) Q)"'O .86 <1>:;::; en ro e Q.. w B ,~ () -- 0 1:J l- Q) 0 ce ~.Q ;~ G2 @ Q) - ..c e r.n .Q '- r.n 1:J en WoE! E 0 ~ a. :5 0) .....-l 0 .~ 'if( J (jj = ~ ..o~ 0 ~ ~ "'. em Z -om m , a \ .Q "'0 <( c V\.J m ~ --' OJ ::1 :J ~ a+-' I :c g. g. Cl. vi (1) (/):s2 :s2 I...U) <( <( en en-O I!i>. ~ " 0 Q) '+- (1)'- (1)'- C ~ ()c (/)0 co ~ ~:] ~G**~ ~ ~ ~ID ~ ~~.' m i~ ~ ;~U) gj W ~jol ~ ~ ~:g m w ~ '0- ~ ill m .~ a5 -0 (!) =8 ~ ~ ,~~ ~ ~ ~ 8 < ~ ~ ~ tJ jP P ,r,P /J P fJ 1/ j.J F l} (Ji',ffJ rO~? ~. ~ ~ ~,\), ~ "'\ ~. '=\ ~ ~.\\ <q~<:\ '\.~ \ ~ t:l1. 'ZJ1VV0/VY00j1/.t/rJ~~v;~/'j_p~~%~~~~\;. ~~~'~N~~t'-~>,\;~~., l/t/ d' d tt t)' C1 rJ t7 tf tJ d {/ tY (/ tJ {} Ii 0' "',~"f ~~ ~ ~ ~.~ o~ ~ ~ .~ ~~ 'i;J .it~ \) '~ ~ ~ \~ '\:;.'\1 I o Z tJj ~ ~ 4J ~ 'l > ~ ~ U U~~~-eJJ /!.e/ f UtJ/l. ct'ff.ere! d~~/ / / tI;;~~ a:: o 1:J C ~ ..c en <( en Q) I... 'a. x W W ::J o (1) w 0:: 06 W 0:: u: 0:: w o 0:: o U W 0:: ~ U o '" l.() ,..... 0) 0::: o ElvIEF~GEi\iC'l j'.1ED I (J-\L. SERV I CE ~3ECT I CIl\! ... ;':\I'l!BUL.,i.~}hi(:E 1 !::i 0 1 un E ;2:.2 ~?:;t~ 7' ~:l 2002: FOF;.:D TYPE I {?jROU\\}D LICENSE NO" E222273 C;'l;y of' l~5hland Keith EN Woodley~ Chief 455 Siskiyou Blvd Ashland OR 97520 ! "I' {" F.:: h.l {.::'i:~ 3; 9" 2~ =7' b' ~ ~~,... .J. i,.' .... j~.J \.0..' J..... ..,_" _,_ ~ _ ~ !~:::::o N 00 J UN :::::0 O!5 04/ .U5/ 4 :;r70~=: .1~1 i:5 ~::: ~.::: 1 '::' (:i .1 ~'~""""-"---:-- --,- --,- -----:-- -----:- .-- --- ._- -- ~--_.._'-- -.----: - -..---:--:- -- --"~ ."----:-- -- -- - -,.----.----,.. - -'.~. ._--"'-""""-~"---~,.--.-"....,..,.,.,,--...,..,.....,...-. -------- ,.t9qt=~,;;::: 114/:"5 .", i--.Jr:- 199';:J FORD EiHO\JND TYPE III LICENSE NO. E211465 Cjty (If Ashland Keith EN Woodley, Chief 455 Siskiyou Blvd Ashland OR 97520 04/11:-;/4 ::;:'70;;:: :!p:;::Q,!,QQ, .J UN ::::0 0:") ':1.6;2: :3100:{ --... ----.- --- -- -- .--.- --- --- --- ---. --- --- --- --- --. --. - --- --- - -- -.-- -- --..-- .-- -.- .---. <- -- -. -- - ---- .- .-...._- .---- -.--.- ---- - --.--- -.--..- .-- .-.-.-- --- - --< ----. .---. .- - --- ---- --. ---- ._._- --.---. . ~,.,;-~ :- --~ ' )f\/1/\! ,! '...'i EMEF\GENCY MED I CAL. SERV I CE SECT I ON .... /iNBUL~lNCE j, 50 1 .- E i 95/';:.::';:9 1 ':;'92 FOf;~D GROUND TYPE II LICENSE NO. E195689 c: j ty (I P i'Jo.>,s.h i a.nd Keith E. Woodley, Chief 455 Sjskiyou Blvd Ashland OR 97520 04 / t r::';i.l .4 ;::: (:;. ':;:1 '? I I C'C'h 1,-.1='3. a 2 7 ~ ~ 1_ u' ~_. 1'-1-::'.::' ....;;;; _ \,) "'" ..JUN ....'l...~ :....t': '.:'\...\ ~...,;:..) .11~ ,~::';;~~ :~::~ :t ()(:) 1 () ENEn0iENCY IvIED I Cf~L SEF:V 1 CE SECT I ON - l\t"IJ::H..H....f\NC:r... ! r C'f:::';"i'::'i~'.. -':) q ~ 7 i.C.' r'" - - .... do ....~...c '.....J....,~ ~. / ~ h ~ ~ 6". V ~ .:!; i::;; () N () (~) 160.1 '-E .1'.::J[:!560 :/. .:;..) I:" F C) f-~; D GF:OUND TYPE III LICENSE NOn E198560 .J UN ::;:0 0::5 c:: i ty I)f f~sh I and Keith En Woodley, Chief 455 Siskiyou Blvd Ashland OFi' ~;I'7f52'O ()4/1.t5/4 ;;::'tOl 4(S:2 :.31 001 .1501- E j, 70'~J7'7' - ~~;~.~~~.~..,~~~(~~!_. . ",,~". (-' ~~;~ ._.~',,;'-~ -'".,' :' It,;.l.-,e f\c,j ~~-";ir::~:~"i j. -;"," ",1 'i; !'-1:: 'EMEFH:i::i'~'t:\(. t4E:b:i: CAI~. SERVICE SECT I 01\1 .-. 1{.\NBULplNCE L I CENf:;E: 3 92 7 4 ~ 1':;/:::5 FORD GROUND TYPE r I I L I CEr.ISE:: NO.. E:l 70''i-,.t7 ..1 UN ::::<) Of:5 c: it'}' ,::.f' A:.h I and Keith E. Woodley, Chief 455 Siskiyou Blvd Ashland OR 97520 c:> 4;1 1 Ei /' 4 :::: ~~. ';-.1 t::: 4t::.;2 ~:: 100.1 o =-..-===-.."'==-.,--===-- -==::... ~ -==-- -===- --===-. ~ -==- -==- -===---===---==- -==--",,===- -:--==-.-==-. -==-.- ~~ -==- -==- -==-. -===- ~ -===-.~ -===- -===-- -===- -==- --====- -===- ~--;---===- ~-==- -===-- -===-- -~-:. '. ;i" 1 9'::J:~: FOF:D GROUND TYPE III LICENSE NO~ E186951 '~~;(}..QQ EMERGENCY MEDICAL SERVICE SECTION - AMBULANCE 1501 -E 1 :.::c;.'.:;J5 i ,J LJ}\J :":;(j (}~:! (~: i t ~I c~ .F f:.'i ~. ~l , ~l. f'i (j Keith E. Woodley, Chief 455 Siskiyou Blvd f.l; s rl 1 0. rJ ij OF{ 9"T5;;:~() () ':.1, /' 1 !5 ,i ...1- ~:-~~ ."/' () () 1.~1, i~) ~:: :::~~ 1. {:) () 1 () AMBULANCE SERVICE PERSONNEL ROSTER Service: ASHLAND FIRE AND RESCUE (1501) Last Name First Name MI Level Cert # Expires DL# Empl Stat Anders, Walt L. EMT -Basic 112485 6/30/2005 195503~ ~ PFT Beck Todd E. EMT -Paramedic 124333 6/30/2005 5837326 ; PFT Borosund Lars F. EMT -Paramedic 127032 6/30/2005 8716517 PFT Boyersmith Steven P. EMT -Paramedic 120378 6/30/2005 4545965 PFT Burns Kelly W. EMT -Paramedic 120248 6/30/2005 5207865 PFT Case Greg I. EMT -Paramedic 113788 6/30/2005 3254941 PFT Clayton Todd M. EMT -Paramedic 123797 6/30/2005 4836726 PFT -- C. EMT -Paramedic Cockellll Robert 123943 6/30/2005 6109120 PFT Fogarty Sean A. EMT -Paramedic 129083 6/30/2005 8582283 iPFT F ormolo Curt J. EMT -Paramedic 118901 6/30/2005 3738940 PFT Freiheit Matthew E. EMT -Paramedic 121237 6/30/2005 4927105 'PFT Hadden Jennifer A. EMT -Paramedic 1.24336 6/30/2005 3535298 PFT Hall Christopher D. EMT -Paramedic 123164 6/30/2005 4656782 PFT Hanstein David C. EMT -Paramedic 111814 6/30/2005 2524064 PFT Hickman Margueritte LR EMT -Basic 128889 6/30/2005 3676587 PFT Hollingsworth Scott M. EMT -Paramedic 113607 6/30/2005 2830146 PFT Jones Gregory Rees EMT -Basic 110972 6/30/2005 1423603 PFT LaCoste Rod T. EMT -Paramedic 127119 6/30/2005 4322818 IPFT Martin Richard F. EMT -Paramedic 130001 6/30/2005 8543648 PFT Menold Lance W. EMT -Paramedic 125954 6/30/2005 6022755 PFT Rasor Marshall G. EMT -Paramedic 126969 6/30/2005 5067632 PFT Rogers Allan S. EMT -Paramedic 125456 6/30/2005 4777892 PFT Rosenlund Derek A. EMT -Paramedic 121067 6/30/2005 5541498 PFT Sallee Dana S. EMT -Paramedic 116336 6/30/2005 3654752 PFT Shepherd David G. EMT -Paramedic 123197 6/30/2005 3667291 PFT Stephens Robert W. EMT -Paramedic 123787 6/30/2005 5856509 PFT Stidham Ryan E. EMT-Paramedic 127950 6/30/2005 5182683 PFT Stoy John Trent EMT -Paramedic 118911 6/30/2005 4856227 PFT Stu bbs Todd c. EMT-Paramedic 130277 6/30/2005 9309381 PFT Department of Human Services - Health Services ~on EMERGENCY MEDICAL SERVICES., 800 NE Oregon Street Ste. 607 Portland, OR 97232 . (503) 731-4011 .. Fax (503) 731-4077 June 4, 2003 Walt LAnders 23 Wilson Road Ashland, OR 97520-9102 ~ Congratulations on your recertification! Below is your new EMT-B certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your narne return your certificate immediately to our office with the corrections. Send the certificate to:Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee 0[$10.00. Please be aware that you are required to be familiar with the Oregon adn1inistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), c-qrrent articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in our office for different programs.-' . Thank you for your continual support and involvement in Oregon EMS. ,- - - - - ~TATE.9E.cQB~GO;- - - - - - -I-STAT~ OF OREGO;-- DEPAR-::~ENT OF HUMAN SERVICES - I EMERGENCy"MEOJCAL"TECHNICIAN I EMERGENCY MEDICAL & TRAUMA SYSTEMS I CERT. # 112485 ,,:BASJCJ!}~PTRES06/3012005 I I Walt L Anders?:.,: I Cll I 23 Wilson Rge? ,"', I ~ I Ashland, OR'~7520-91Q2' I ~ I If The individual named above and described on thereverse of this card has I ~ I completed the reqUirementsseffort,firiiORS682et seq, and is certified as ~ I rln FmArnfmr.v Mp.rlir.81 Tp.r.hnician8t Ihp. lAVAl inrlir~8tArl J EMT -B vVaIt L HT: 6' 2" WT: 198 Department of Human Services - Health Services Oreg:on El\1ERGENCY MEDICAL SERVICES.. 800 NE Oregon Street Ste. 607 Portland, OR 97232 0 (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 ~ Todd E Beck 21 Anna Laura Dr Jacksonville, OR 97530 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your nanle return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. DU121icates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon adrrlinistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealth/ems. You will always find,the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), cutrent articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in our office for different progralTIs. . Thank you for your continual support and involvement in Oregon EMS. r-------------------------__ I STATE,9FPB,~GON I STATE OF OREGON - DEPAR~~ENT OF HUMAN SERVICES - II CERT. # 1~~)E3~G~~<i~~k~1'~ffi2~~6/3012005 II g: EMERGENCY MEDICAL & TRAUM~~._,.:ZY... :'. E, MS Todd E Beck" ,.>>-- EMT-P ~ 'W' I ;:c:.~~:~1:~~ll~7ijOV '. ... ! j ::d:,:.. "0 I ' . . , If I The individual named aboveand'dgsdri~ed'on.thereverse of this card has 1_:20 WT: 215 completed the requirements set fOrtoih'O'RS 6aget seq, and is certified as I an Emergency Medical Techniciah*the!eve/i~dicated, I '"-, Department of Human Services - Health Services Oregon ,EMERGENCY NlEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232 G (503) 731-4011 @ Fax (503) 731-4077 June 4, 2003 Lars F Borosund 2190 Femwood.Circle Lake Oswego, OR 97034 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your name return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates c~n be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon adm]~nistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/pub1ichealthlems. You will always find the latest information :from this office on the web site. We encour~ge you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in our office for different progranlS. Thank you for your continual support and involvement in Oregon EMS. ,- - - - - ---;'TAT~_9F;PB,~GO;- - - - - - -I-STA~ 0-; OREGO~- DE~;RTMENi~F HUMAN SERVICES - I EMERGENCY'MEDICALtEGHNICIAN I EMERGENCY MEDICAL & TRAUMA SYSTEMS I CERT. # 127032:~,~~'MEDIC~EXPlRES 06/3012005 I I Lars F Borosu.~~\.,>-,:':i',,, " I OJ I 2190 Femwoq,d'Citp1.~",i',,: ." I ~ I Lake Oswego,j)It9}934 ......... ..., I ~ I ;~~ ~;e~~~d~h~ ~e~ :~~ ~:~~e~l7~~rih~~~isOi;~i{:~:;':n~ i~hi~e~t:I;~d h:: I f I an Emergency Medica' Technician,.:!! theleveJin.dicated, I EMT-P Lars F HT: 5' 7" WT: 157 Department of Human Services - Health Services '"Oregon EMERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 ~ Steven P Boyersmith PO Box 4514 Medford, OR 97501 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your namle return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon admJ:njstrat~ve rq1es pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealthlems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact inaur office for different progranis. Thank you for your continual support and involvement in Oregon EMS. I ~ - - - - --';'TATE Qf,,QSEGO;:;- - - - --: - -I-STATE 070REGO-;- DEPARTMENT OF HUMAN SERViCES - I EMERGE.N. ..GY'M.E.:. D."CA,..'.t.'.T.,.'...;EC. .P.. H..1f\JlCIAN I EMERGENCY MEDICAL & TRAUMA SYSTEMS I CERT. # 120378~A~~~~~,Jj)~] RES 06/30/2005 I ! ~~~::4~~rtt~r~:f"';;;\;i,f~ji;t:, I ~ ! Medford, OR~7:5p:l '-ccO .. I :g I '...:..:c...::.' /""coOl " : - ,-::'..:'-:-: . '_.::.-".''': j ~u I The individual named ab9ve~~dd.~~$ri~~ed' ohthereverse of this card has 1_:r2o completed the requirementssetfort~iri98S 68g~ and is certified as I an Emerqencv Medical Technician~t fh~'IAvplin'rlir,qtprl EMT-P Steven P HT: 5' II" WT: 170 Oregon Department of Human Services - Health' Services EMERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 ~ Kelly W Bums 2717 Clay Creek Way Ashland, OR 97520 Congratulations on your recertification! Below is your new EMT - P certification card,vhjch ex.pires06/30/2005. Please review your certificate carefully. If there is an error in your narne return your certificate immediately to our office with the corrections. Send the certificate to~EmergencyMedical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued fora fee of$10.00. Please be aware that you are required to be familiar with the Oregon adnlinistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in our office for different programs. Thank you for your continual support and involvement in Oregon EMS. 1- - - - - - - - - - - - - - - - - -1- - - - - - - - - --- I STATE~Qf):J.B.~GON . STATE OF OREGON - DEPARTMENT OF HUMAN SERVICES - I EMERGEN9~(~~DrCAL'~~HNIC,IANo6/30/2005 I EMERGENCY MEDICAL S,-"I~ES & TRAUMA SYSTEMS I CERT. # 120248 ,<~~~'MED1C\tt~fIR~S I !DEN -TION . I Kelly W Bumi:~";_/;-}(::}!.,~t:iil~i~j:~.Jj(::~{f;.~ ' I OJ : ~~~ia;~~~ii~~iirt~,'t,: ,,:' ", I j ~)",- ~ /<',.':". ........,'.'(}X';-),...... - .//i/,.' I g The individual named aboveano ,dyscrii:18{( ohthereverse of this card has ~ I completed the requirementsseH?r1,Qin-OeS saget seq, and is certified as I J? ! an E mecg oney / M:' :" T eehn'elan,~'r!!e'le"e "~d 'oa led riA ' i BT: 6' 4" WT: 200 June 4, 2003 I , Department of Human Services - Health Services EMERGENCY MEDICAL SERVICES ~ 800 NE Oregon Street Ste. 607 Portland, OR 97232 e (503) 731-4011 ~ Fax (503) 731-4077 Greg I Case 816 Voris Avenue Ashland, OR 97520 Congratulations on your recertification! 'Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your namle return your certificate imniediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of$10.00. Please be aware that you are required to be familiar with the Oregon administrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the D~rector, a list of available classes from the mobile training unit, continuing education requirements for all1evels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in our office for different programs. Thank you for your continual support and involvement in Oregon EMS. ,- ~ - - - -;TATE, 9f..9B.E.:GO;- - - - - - -I-STATE 0-; OREGO;-- DEPAR~~iENT OF HUMAN SERVICES - : CERT. # 1~~GE,~lt~m~blffm\i;~~6/30/2005 : EMERGENCY MEDICAL & TRAUMA SYSTEMS I Greg I Case""'>',",, ' I QJ EMT-P I 816 Voris A vehu~;'. I ~ Greg I I Ashland, OR 975-20 .. . I! HT: 5' 9" , I ';;;6 ,u WT: 180 I The individual named above and described on the reverse of this card has I_Eo completed the requirements set f?rth in ORS 68?~ and is certified as I an Emergency Medical TechniciahW t~eleveli~dicated, I Department of Human Services -Health Services Oregon EMERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 ~ Todd M Clayton 2144 Springbrook Rd Medford, OR 97504 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your nanle return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon adrrtinistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealthlems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will fmd there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in our office for different programs. Thank you for your continual support and involvement in Oregon EMS. ,- - ~ -- - STATE QFQREGO~ - - - - - -I-STAT~ 0-;; OREGO;- DEPAR~~ENT OF HUMAN SERVICES - I EMERGENGYME()lcALtecHNICIAN I EMERGENCY MEDICAL & TRAUMA SYSTEMS I CERT. # 123797":~AR:AI\;1~1)IC,~0rIRES 06/30/2005 I I Todd M Claytohi> ,. , ' ' I Q} I 2144 Springbr8'oKI\ci I ~ I Medford, ORJ7504 I ~ I If I The individual named above a.nd desCribed On the reverse of this card has l:go completed the requirements setfor1h iriORS 682.el sea, and is cer1ified as ~ EMT-P Todd lVI HT: 5' 10" WT: 170 Department of Human Services - Health Services Oregon ElVIERGENCY l\1EDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 Robert C Cockell II 455 Jeffrey Dr Ashland, OR 97520 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your name return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of$10.00. Please be aware that you are required to be familiar with the Oregon admj'nistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements fqr al1levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contactil1 Oilr office for different programs. Thank you for your continual support and involvement in Oregon EMS. 1- - - - - - - - - - - - - - -.- ~.~-I- - - - - - -- I STATE__QG:PB~~GON STATE OF OREGON - DEPARTr~ENT OF HUMAN SERVICES - I CERT. # 1!~GE~l~IW1M~_:rlli~~6/30/2005 I EMERGENCY MEDICAL ~c~br;ES & TRAUMA SYSTEMS ! :;;;~f;e~~l!~lfi[~~~~~~~'!;;;'Y:.. !! IDEtfTION I Ashland, OR;~Z5,20, -, Ii HT: 5' 10" I If The individual named ~bov~ancidesdrjb~d'~h,theJeverse of this card has I_~ WT: 175 I completed the requiremeritsself~[tB:i.~\~~:S6B?et sea. and is certified as I ::l n Fmprnp.nr.v Mp.dical Technician 'al the/eve' indicated, Oregon -Department of Human Services - Health Services E1\1ERGENCY l\1EDICAL SERVICES. 800 NE Oregon Street Ste. 607 '-Portland, OR 97232. (503) 731-4011 . Fax (503) 731-4077 June 2, 2003 ~ Sean A Fogarty 2035 SE 24th Ave Portland, OR 97214 Congratulations on your recertification! Below is your new EMT-B certification card ,;yhich expires 06/30/2005. Please review your certificate carefully., If there is an error in your nanae return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of$10.00. ' Please be aware that you are required to be familiar with the Oregon adnlinistrative /' rules pertaining to your certification. I These rules are available on our web site under rules and statutes at:www.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in <?ur office for different programs. Thank you for your continual support and involvement in Oregon EMS. 1- - - - - ~TATE_.9E-P8~GO;- - - - - - -'-STATE OF OREGO;-. DEPAR-=~ENT OF HUMAN SERVICES - I EMERGEN...Cy-.'."Mf:.p.'ICA.'...~.(T.'...~.c..,H... NICIAN I EMERGENCY MEDICAL 9liJm.;?iES & TRAUMA SYSTEMS I CERT. # 129083 /,:~:~~~~s.~~r~RES06/3012005 I IDEN ". TION I Sean A Fogarty;", ;:,;~;~-,~~~,-_::";~\\ I EMT-B I 2035 SE 24t~.,~~,~';.;,.,_ _, I ~ Sean A I Portland, OR~72l4--, " " I! HT: 6' 2" I '.'.>"i.........' ! ~ I The individual named above.and'di;br'ib~donthei~verse of this card has I_~ completed the requiremeritssetf9rtHiI19;~S 68?et seq, and is certified as -- ,__..-................,. ,.,,,.....,..J;.....,.,/ T,...,,,,h,..,-i,-.i...,,-n__"r:it thCl-'.fl:)'\101.i.":;rli('~h::::.rl I .i -- - - - -- - STAT~QEOfiEGO':';- - ~ - -- - -I~T~TE OF OREGON - ;~~~~TMEN;;FHUMAN SERVICES - I CERT. # 1 fMJO~GE~1~1P~1Eli~i~Y6/3o/2005 I EMERGENCY MEDICAL ES ~ TRAUMA SYSTEMS ~~~SI~~~l'J!i;~;~tj~~ .. ../1 ~: ~'8~' IDE ION The individual named ab.<?ve-':>i:(n<1'd~s.c!jg~(t ogAhe;reverse of this card has I ~ completed the requjremeA't$~ef:fo!!Ft!f9.BS;68f:et seq. and is certified as _ an Emergency Medical TechhiCI~h,~.iJ~.~;1~:,~Hndicated. I I I This certificate is the property of the Department of Humcln 5 7 8 3 4, Services and must be surrendered by the holder on demclnd. I ~~ Jonat~in. Director of EMS. & Trauma Systems Department of Human Services - Health Services Oregon EMERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232 4' (503) 731-4011 e Fax (503) 731-4077 July 8, 2003 Matthew E Freiheit PO Box 535 Ashland, OR 97520 Congr:atulations on your recertification! Below is your new EMT-P certification card vvhich expires 06/30/2005. / Please review your certificate carefully. If there is an error in your nanle return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon adm~inistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Upd~tes from the Director, a list of available classes from the mobile traimng unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list o(staff you can contact in our office for different programs. Thank you for your continual support and involvement in Oregon EMS. 1- - - - - ~TA~E_9f9J3~GO;- - - - - - -I-STAT~ 0--;; OREGO;- DEPAR~~ENT OF HUMAN SERVICES - I EMERGEN9Y;MffiPj~A~;YF~HN'C'AN I EMERGENCY MEDICAL &TRAUMA SYSTEMS I CERT. # 121237 ":PAAAMEDIG)!:~PlRES 06/3012005 I I Matthew E Frfilieit,>', " ',,', I ~ I PO Box 535.> .':~ .......... ...., ' Ii I Ashland, OR@7520:->,>, ., I! I I~ I The individual named aboveanddes2rib~don the reverse of this card has I] completed the requirementssetf?rtffinSRS 68~illillh and is certified as ~ I an Emergency Medical Technician~t t~elevel:ih.dicated. EMT - P Matthew HT: 6' 0" WT: 180 Oregon Department of Human Services - Health Services EMERGENCY MEDICAL SERVICES" 800 NE Oregon Street Ste. 607 , Portland, OR 97232. (503) 731-4011 '* Fax (503) 731-4077 . June 4,2003 ~ ~q Jennifer A Hadden 1313 Mill Pond Rd Ashland, OR 97520-7321 Congratulations on your recertification! Below is your new EMT - P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your nanle return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to' you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon adrrlinistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: WW\v. dhs.state. or. us/publi chealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can . contact in our office for different programs. Thank you for your continual support and involvement in Oregon EMS. ,- - - - - ~TAT~,.2ti'PB~GO;- - - - - - -I-STATE 07 OREGON - DEPAR~~ENTOF HUMAN SERVICES - I EMERGENGvMEDICALTECHNICIAN I EMERGENCY MEDICAL & TRAUMA SYSTEMS I CERT. # 124336 /~..A~MEDIG'F;~PlRES 06/30/2005 I I Jennifer A H~.~S~fi:;"-;,,\~~{r.j;:/;>;: '. I Q) I 1313 Mill Po.ljdrl{cL.;: ... . I ~ I Ashland, OR:~752()-'73.2.'t I ~ OJ I The individual nam ed~bove andde,~Crigedoh the reverse of this card has I! I completed the requirementssetfor.tr,ir..o,~S 6B2~ and is certified as j E I an Emergency Medical Technician'Elt th,elevelj~dicated, July 8, 2003 Department of Human Services - Health Services EMERGENCY MEDICAL SERVICES e 800 NE Oregon Street Ste. 607 Portland, OR 97232 e (503) 731-4011 @ Fax (503) 731-4077 Christopher D Hall 3189 Cheltenham Way Medford, OR 97504 Con~atulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your nanle return . your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0'450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon admlinistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publicheaIthlems. You will always find the 'latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of . EMTs, current EMS Update (riewsletter), current articles of interest, EMS hot topics, Awards Banquetinfarmation, ElvIS for Children, and a list of staff you can contact in our office for different programs. Thank you for your continual support and involvement in Oregon EMS. ,- - - - - ~TATE~qf=.9B~GO~ - - - - - -I-STAT~ OF OREGO-;- DEPAR~~ENT OF HUMAN SERVICES - I EMERGE~9Y-MJgHkAL')~89HNICIAN I EMERGENCY MEDICAL & TRAUMA SYSTEMS I CERT. # 123164 ,(PA~MED~?;~E~07PIRES 06/3012005 I I Christopher [l'~taIF::'>~ ' '. I <l) I 3189 ChelteI1!;aUlNiay'(' , _ I ~ : Medford, OR::975D4../..\,C'... .. I j I The individual named aboveandd~$2ril?eq 011; the reverse of this card has I ~ completed the requirementssetfo[ihin(),RS 6B2et seq, and is certified as ~ I an Emergency Medical Technician~t the level, in~dicated, Department of Human Services - Health Services Oregon EJv1ERGENCY I\1EDICAL SERVICES.. 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 ~ David C Hanstein 1516 Larkspur Medford, OR 97504 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your name return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $1 0.00. Please be aware that you are required to be familiar with the Oregon adnrinistrative rules pertaining to your certification. These rules are available on our web site underrules and statutes at: www.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements .for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in our office for different progran1s. Thank you for your continual support and involvement in Oregon EMS. ,- - - - - ~TAT~,2S:9J1~_GO;- - - - - - -I-STATE OF OREGO-;- DEPARTr~ENT O~UMAN SERVICES - : CERT. # 1~~~llGEI}~ai!i'~T~iJffi]!~~6/30/2 005 : EMERGENCY MEDICAL & TRAUMA SYSTEMS I David C Hans(eiIJ',,:'\o~':i;'~\:>~...,' '"", I Q) EMT-P I 1516 LarkspLir ,,:.' , I ~ David C , Medford,OR'Q7504 I ~ HT: 6' 2" I jf I The individual named above ard des'cribedon the reverse of this card has 1,:Qo WT: 245 completed the requiremeritssetf9rt~in'9FS6Bget seq, and is certified as _ I an Emergency Medical Technicianat thelevelir\dicated, .J" JO"'t~j~ Director of EMS & Trauma Systems HT:5'5" WT: 165 Ii, v<~ .~ , /"~):>igriatur cafe Holder This certificate is t~perty of the Department of Human Services and must be surrendered by the holder on demand. 58274 Department of Human Services - Health Services -oreg.on ElVIERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 '" Fax (503) 731-4077 June 4,2003 ~ Scott M Hollingsworth 3077 E Main Ashland, OR 97520 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your narne return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of$10.00. Please be aware that you are required to be familiar with the Oregon adn1inistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at:www:.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site~ We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all1evels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in our office for different pro5TaintJ.. Thank you for your continual support and involvement in Oregon EMS. ,- - - - - ~TATE 9EQBEGO;- - - - - - -/- STAT~ OF OREGO-;- DEPAR~~ENT OF HUMAN SERVICES - I CERT # llr60~GE~~~m<Hi~&=fPflffi~~6/30/2005 I EMERGENCY MEDICAL qi~;{;liES & TRAUMA SYSTEMS j . , -,.... -- .'" I IDE ffIGP.TION I Scott M Holliqgsy{9.rth:~;>~/~J~';,:::i.~,~,k' .., I EMT P CERIT1- 7- , I 3077 E MainD'J;,";,'A ". " ....., ". I ~ Scott ~ Hifl';'!! 1\ ~:r} I Ashland, OR925~O-"q,:,-~,_,- ..., I ~ HT: 6' 2" I ....<,.:.:y;.:-:.- If WT: 195 /. The individual named abovei3.rddE:$Cri~edontheJeverse of this card has I ~ completed the requirements~etfcirthj~~9RS:6~?!:it sea, and is certified as ~ I an EmergenCY/Medical TechnjciClh~lth,~'le\lel: i~dicated, I June 4, 2003 Department of Human Services - Health Services ENIERGENCY I\lliDICAL SEKVICES ~ 800 ~lli Oregon Street Ste. 607 Portland, OR 97232 @ (503) 731-4011 .~ Fax (503) 731-4077 Gregory R Jones 107 N Wightman Ashland, OR 97520 Congratulations on your recertification! Below is your new EMT - B certification card which expires 06/30/2005. --- . -_.-'-'~.- . -.. ..-._-----._-~- Please review your certificate carefully. If there is an error in your name return your certificate immediately to our office with the corrections. Send the certificate . to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of$10.00. ----.--".. -- .-.-,.-----------:.." . -.~- ---. .:....-.__._--.._-~---- ....--- ---------- "_._"-- Please be aware that you are required to be familiar with the Oregon administrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealthlems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topi<;:~, AWard~ Banquet information, EMS for Children, and a list of staff you can .__--- contact-in om office=--f-oi-differertt programg-;--"----2~__-.-c,-:-~~~--- -----'~_:--'----',-'--~ .;...~~~'-="--_.o-_ Thank you for your continual support and involvement in Oregon EMS. 1- - - --STATE OF OREGO;;------i STATE OF -OREGON - DEPA~TMENT OF HUMAN SERVICE: I EMERGENCY MEDICAL TECHNICIAN I EMERGENCY MEDICAL SEHVICES & TRAUMA SYSTEMS ! CERT. # 110972 BASIC EXPIRES 06/30/2005 I IDENTliFICATION Gregory R Jones I (l) E1\'IT-B CERT. # 110972 107 N Wightman I ~ Gregory R Jones Ashland, OR 97520 I ~ en The individual named above and de. scribed on the reverse of this card has I I! completed the requirements set forth in GRS 682 et SeQ. and is certified as :2 all Emergency Medical Technician at the level indicated. I J1 I HT: 6' 0" HAIR: Dark Brown WT: 180 EYES: Hazel /2e fA !hH f/j __ . .f ~ _ --,':-:__L~ 11_1....J......_ Department of Human Services - Health Services Oregon EMERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 ~ Rod Lacoste PO Box 146 Jacksonville, OR 97530 Congr~tulations on your.recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your nalne return your certificate immediately to our office with the corrections. Send the certificate . to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon adrninistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealthlems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards 13anquet information, EMS for Children, al1d a listof staffYQu can contact in our office for different programs. Thank you for your continual support and involvement in Oregon EMS. 1- - - - ~STATE.,gf;.,QB~GO;- - - - - - -I-STAT~ OF OREGO-;- DEPAR~~ENT OF HUMAN SERVICES - I EMERGENQYMiEolcAL'TEcHNICIAN I EMERGENCY MEDICAL & TRAUMA SYSTEMS I CERT. # 127119PARA~E}JIG~~~PIRES 06/3012005 I I Rod Lacoste . ". - , I <ll I POBox 146i ...c I ~ I JacksonviIle,c:m..,97~}O ......'.. I ~ I If I' The individual namEd above a.nddesCribed onth8feverse of this card has 1:120 completed the requirements set forth in O.RS 6S.g~ and is certified as _ _..... r............................,..." ~"r\~il""':Il TClf'hrii("i~n,,::d -t.ho,i6\1~d.:inrlir;:1tprl HT: 5 I 11" WT: 175 - -- - -1-- ~ - ~ - - -- --- ~ .-- -- ~ --- .-- ~ --'- - --.- --- - -"1' -.-- ,--,-- '--- -'-' -- --- -- ----- -'- .-..'.----.----- STATE OF OREGON - DEPARTMENT OF HUMAN SERVICES . STATE OF OREGON I EMERGENCY MEDICAL SERVICES & TRAUMA SYSTEMS I EMERGENCY MEDICAL TECHNICIAN I" EMERGENe{'M@DIC~t;,l'ECHNICIAN I (~~~;~~~~~~~~I!I,::~:::O~ this Ii I card has complefe.~_ th'e~.r,~gt1Jr;f~1ts';se!Jort/:l in ORS. ~23.010 ill I I gg. ~n~ is certified~a~",_~ti~~,ffi1~~;;Medical Technician at the I level IndIcated. -'-:"--==::::'-,,'o2.:::-~:"- I '1Ir41 /-- --. .-,() I. \ I ~;?-~-_./ ~ vu- I I Jonath~'Chin. - Thomas W. Johnson, I Director of EMS & Trauma Systems Administrator, O.P.H. . I I I ATTAC~, PHOTC> HERE This certificate is the property of the Department of Human Services and must be sUffendered by the holder on demand. 54184 , . . National Registry ~'h.. of ,<9~-~ EMERGEN~YMEDICN---TEC:amClANS o~o~ ~iit-- SATISFACTORILY PASSING THE WRrTTEN AND PRACTICAL EXAMINATION IS DULY REGISTERED AS AN EMERGENCY MEDICAL TECHNICIAN IN THE CLASStFICATlON USTED BELOW June 12, 2003 . .~ ~ Department of Human Services - Health Services EMERGENCY MEDICAL SERVICES 0 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 -Pax (503) 731-4077 Lance W Menold 722 Trinity Way Medford, OR 97501-0000 Con~atulations on your recertification! Below is your new EMT-B certification card which expires 06/30/2005. Please review your, certificate carefully. If there is an error in your nanle return your certificate immediately to our office with the corrections. Send the certificate to: Elnergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with tbe Oregon adrninistrative rules pertaIning to your certification. These rules are available on our web site under rules and statutes at:' www.dhs.state.or.us/publichealth/ems. - You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there.other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing. education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics,~ Awards Banquet information., :gM.~ for Children, and a list of staff you can cotitacfii1 ouroffice'for different programs. Thank you for your continual support and involvement in Oregon EMS. 1- - - - - ~TATEQFDA~GO;- ~ - - - - -I~STAT~ O~OREG~~- DEPAR~~ENT OF HUMAN SERVICES - I CERT. # 1~~fGE~lsi~f~~hH~,~~ffiJH'd05 I EMERGENCY MEDICAL & TRAUMA SYSTEMS I ,> ".: . . ...,>?' ,?~:' I LanceW Menold'<,.'" '..,,',' EMT-B I' 722 Trinity Way.", ..' ...., " II =;(lJf Lance vV Medford, OR ; 9750'f..:OOC)"O I I:Q u HT: 5' 9" I If WT: 165 I The individual named abovea'ncjdescriqed. oh thereverse of this card has I ~ completed the requirements set fortQ)n:QRS 682~ and is certified as ~ I ;:In Fmprnpnrv Mprlir'11 Tpr.hnir.ian at the/evel indicated. Department of Human Services - Health Services -oregon EMERGENCY 1\1EDICAL SERVICES @ 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 (Ij Fax (503) 731-4077 June 4, 2003 Marshall G Rasor 6407 Harlan Drive Klamath Falls, OR 97603 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefuIIy. If there is an error in your nanae return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required.to be familiar with the Oregon adnlinistrative rules pertaining to your certification. lnese rules are available on our web site under rules and statutes at: www.dhs.state.or.us/pub1ichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements forallle:velsof EMTs, current ~MS Update (newsletter), current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of staff you can contact in out office. for different pro grams. Thank you for your continual support and involvement in Oregon EMS. 1- - - - -- -;TAT~,.9~:;;5;{A:~(30;- - - - - - -I-STAT~ OF OREGO~ DEPAR~~ENT OF HUMAN SERVICES - I EMERGENCY-MEDICAL 'PECHNICIAN I EMERGENCY MEDICAL & TRAUMA SYSTEMS I CERT. # 126969,'PAAA~~~:nGoE~pIRES 06/30/2005 I I Marshall G RasbJ.".c,:,:>,;'j;,:::<' .........'. .... I <D I 6407 Harlan .Ri'ivy;:,;::: I ~ I Klamath Falls;QR 976~".i.. .... . Ii I The individual named above'anddElscri~ed ob the}everse of this card has I_~ completed the requirements set f?rtDi~;:O,RS 68g,et seq, and is certified as I an Emergency Medical Technician?t lhelevel'i~dicated, I EMT-P Marshall HT: 5' 9" WT: 220 Department of Human Services - Health Services Oregon , ElVlERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232 to (503) 731-4011 . Fax (503) 731-4077 June l2~ 2003 Derek A Rosenlund 642 Wilson Road Ashland, OR 97520-9324 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your narne return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon adrninistrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: wWw.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web s:ite. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all levels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, Awards'Banquet information, EMS for Children, and a list ofstaffYQu can contact in our office for differentprograms. Thank you for your continual support and involvement in Oregon EMS. ,- - - - - ~TATE gE.QSEGO;- - - - - - -I-STAT~ 0-;; OREGO-;- DEPA~TMENT OF HUMAN SERVICES : CERT. # f2~8~.pE~ffl:J~\f~lii~~Ifl1:~!'fJ6!3o/2005 : EMERGENCY MEDICAL & TRAUMA SYSTEMS I Derek A Rose~~ytid:;':':" -, I QJ : ~~~1:~~~R~~~~do-9324 :i OJ I I~ The individual named above and. descriped onthereverse of this card has I_~ I completed the requirementsselforWih 'OHS682 et sea. and is certified as I an Emergency Medical Technicianst tfieleveFi~dicated, I Department of Human Services - Health Services Oregon EMERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232 . (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 Allan S Rogers .2578 Rabun Way Central Point, OR 97502 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your name return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $ 10.00. Please be aware that you are required to be familiar with the Oregon administrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: ~.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all1evels of EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics,A",ard~)3.gnql1e! infonn(lti()l1,:E:MS fo.rC,hildrep,ang~li,st ofstCif'f Y91.LCan '. .... ; C ,; r,-;,c;"';; ':~~;.!"r;.~.;,.,:.,... ;,:..:.:,.-.: ~,,~ <"' . .. .., - -.. -, , contact In our OillCe 1v1 lli.1.1~lClit pI Vbla.iUb. Thank you for your continual support and involvement in Oregon EMS. 1- - - - -- ~TAT~QE.QREGO;- - - - - - -I-STATE OF OREGO~- DEPARTr~ENT OF HUMAN SERVICES-- I CERT. # 1 ~~!~GE!~~atlJ,E:.€J1filli~~6/3012005 ! . EM ERG ENCY MEDI~;~~~Iii~~ TRAUMA SYSTEMS I Allan S Roge~s\l'::,.\:~,'>::~::tih:):;~~,S I QJ EMT-P I ~~:~r~~~~t~t:'I~#~di~r'K!0P . ...... I! ::":' : 0" I . . .., ,.. ' I~ The individual named ab(JVea'cd.de,tcti~edonthe,f~verse of this card has 1_:E!o WT: 175 I completed the requirements. setfortDih'qRS 68~:et sea. and is certified as r- _ _ _. '1."_ ...1:__1 I...._t-.';....;.:~;.....-:... .-;.;. .t..:..-.....c-IA.......I.-;.;:;.,...J;..........+........rI Department of Human Services - Health Services Oregon ElVIERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232" (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 Dana S Sallee 1 70 Brierwood Dr Talent, OR 97540-8618 Con~atulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your narrLe return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a , corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of$10.00. Please be aware that you. are required t()qce familiar with. the, Oregon administrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/pub1ichea1th/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for all1evels of EMTs, current EMS Update (ne\vslet,ter),current articles of interest, EMS hot topics, Awards Banquet information, EMS for Children, and a list of st~ffyou can contact in ourofflcefbr different programs.'>" ',~.' > ..'.h ..,...... ..' ......-. .<>; .' Thank you for your continual support and involvement in Oregon EMS. ,- - - - -- ~TATE 9f::qB,~GO;- - - - - - -I-STATE O~ OREGO-;- DEPARTI~ENT OF HUMAN SERVICES - : CERT. # lEl'i!~fR~~1~~\f~ItJ;~m~~6/3012005 ! EMERGENCY MEDICAL & TRAUMA SYSTEMS 1 Dana S SaIlee"':'(:,~'".;~:sc'j'I,;i:i;~:'; I OJ EMT-P 170 Brierwoo.dib}i':" . , _ r ~ Dana S Talent, OR 91?4.0.:.86,18 J! HT: 6' 0" /-;;;5 'u WT: 200 The individual named ab9ve<ard'd~$Cribed on"ther~verse of this card has 1_:90 completed the requirements set forth in"'9RS 68;2: 8t seq. and is certified as I ::In F=mprnp.nr.v Mp-rlic8/ Techniciah~t 'the'IeveJindicated, Oregon Department of Human Services - Health Services _ EJ\.1ERGENCY 1\1EDICAL SERVICES CD 800 NE Oregon Street Ste. 607 Portland, OR 97232 a (503) 731-4011 ., Fax (503) 731-4077 June 4, 2003 ~ David G Shepherd 3775 Coleman Creek Rd Medford, OR 97501 Congratulations on your recertificationl Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error in your nanle return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-01450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of$10.00. ' Please be aware that you are required to be familiar with the Qregon adnlinistrative rules pertaining to your certification. These rules are available on our web site under rules and. statutes at: www.dhs.state.or.us/publicheaIth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile training unit, continuing education requirements for.all levels of 'EMTs, current EMS Update (newsletter), current articles of interest, EMS hot topics, . Awards Banqu~t infonn~tion,EM.S for Children, and a Jist of staff you can r>"'.n. tacO t 1'1-1 0"1'" O';--C:1C? rl'.o. r' a'1-if'r"pT"l='>l1. t n:rnoy' ~in~' ' \.IV L - L. ~ ~ll """ .I. . ......~lI,;.f.L...v .1-.... ~ b _...............l.~.h.. Thank you for your continual support and involvement in Oregon EMS. ,- - - - -- ~TATE,9s:PJ3~GO;- - - - - - -I-STATE OF OREG~-;- DEPAR~~~~T OF HUMAN SERVICES - I EMERGENCy:"n;fEDfcALtecHNICIAN j EMERGENCY MEDICAL & TRAUMA SYSTEMS I CERT. # 123197 /:;~~~,~~DI_GE:E~'plRES 06/3012005 I I David G Shep'~~:~s(?,:.:,:'~:;t,:}t ':<:;. I OJ I 3775 Colem~i1,Qte,~k'.R'9c( ,.,. I ~ I Medford, OR!.,2750F-;:'?':,...,.", I ~ OJ I I~ I The individual named above:$~d,d.~$Bri~ed' oh"thereverse of this card has ! _~ completed the requirements~eH~rt7j~'.",C)~S 68~et seq, and is certified as , 8n Fmeraencv Medical Technician at Hie level indicated, EMT-P David G HT: 6' 0" WT: 175 ',-. ' .{: T 'J . {i. '- T 1 ~ .~ ,,' " 3. ~i:'}.rl '1:.~t.. .r.".l. PJ.--." t rj'! t-,;! II rn (.j n ,"Pr'1!1 ('''e'~,,; ~ 1-;.. (0 ;,1 .1...r.~l .~'% '':;;''1.' "V.'!.' ("l~ C ~_".~-Q~iT~}~}"+'~' L.J.e~.,=,..alJ.. '\...... ,.:. .Jf.! _-il~.i:._~(~'1,.l:Ol. 1:..-J~;" Y J_~~/~...- ,~ ..t. J:l,,;.<"~~1I t.~. _':-..~J-->.........ft. ""I ~_.~~,-., r.:.'r ilT~Rr~T'j\J('\/ i\'n':"'r~'iC'/\ r nr.;U\/Tr'L,:(' ~~ gnn :",JT..' r}"";"l (~~r",."" f".'<-,. <1)":'7 l..-,_c\ _LJ-~'Jr:l "_'.1. JV.lLi.lJJL,~,rA..L ')~'h,d,\ Y,t'\......,L...,J =._krU ,:. ',L \jlt::,slhl .-'i.i.l.el ;_}I.~_, (J\ I .-:- 1 ; n R -","'1"" ,') ., .: = (-\ ""l" ,.,. ,..,.., .' r' ., 'I ..-. . .~ r /) .,~,..., 1 4(." '~."'7 PrntHlnn, "I '\. 9 i L:)L. 9j (J L;) / j 1-4U i 1 ~ .rax (JU.j) /.J) -,,- JI/ June 4, 2003 Robert W Stephens 1 00 AI der Street Phoenix, OR 97535-7721 ~ Congratulations on your recertification! Below is your ne\v EMT-P certification card "vhic~: expires 06i30/2005 ~ Please revie\v your certificate carefully. If there is an error in your name return your certificate immediately to our office with the cOl1.ections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate win be issued to you. Keep your certifIcate in a secure place. Duplicates can be issuedfbra fee, of$lO,.OQ. Please be aware that you are required to be familiar \vith the Oregon administrative rules pertaining to your certification. These rules are available on our web site under ntlesand statutes at: "v\v"v.dhs.state.or.~~/pJ.lbliQhealth/ems. You will always find the latestinfonnationfrom this office on the web site. \\'e encourage you to use this tool frequently. Some items you \vill find there other than the Administra.tive Rules are: Updates from the Director, a list of available classes frOIn the mobile training unit, continuing education requirements for all levels of EMTs, currentE1vfS Update (nevvsJetter), current articles of interest, ElVIS hot topics, Awards Banquet infomlation, EMS for Children, and a list of staff you can .cQUta~cti11>q~:Q:ffic~+Qr,J:ii.fferentpl:ograms~- .' ,,--< ',M,_ -,. -, Th.'............a.,'.nk..... ,.Y. o. .,ufar YO..U.f . continual support andinvolY~ment in. Oregon...... ..E... .'.~.;1...~.... ." . .. .. .' ..' '. . .. .c-. . ",' ," . ~_ c. _.' ", _.".-'" _., '__ ,-._ _,',_',_" ,- .-~. _.C _.. ..... ",..,.. ,_ .. .. " '. ... __ . _' ",_. _.' "._ .__ ._' ," :_. - -. -.'. ..... -. c.- . _ ..' -. - ....~.....- ~ . . . ,'- _ _ -, . -. ',. .. _. , .. _ _.. _ _ .. --. --,- . . -' _ , -' ',' -- -' .-:'- ."..- ... :'--', - .. ~., -'. ;-',.~ '-. '-' '-' . '--'- : -'- -: - . - '-'. -. - ,,""; -,'. ......- -. '. -..- -- - .- .:. - --. -.~ -, -. ,-" -. ......- - '...'-' -- . ..- --.'-- ,- -- -- -. ~ . - .... .. - - -.. - - - -- --. ----~- - -- --- --- - ~...-.- _. -:.-- ----- - ----- --- ---.- -'- ...-.. -,..--. --'-'-, -.- ST;\TE OF ORE(30N I STf\TE OF OREG(Jf"'J - C~El~,A.RTN1E~,iT OF t-!Uf\,it1J-j SER\/ CERT. # 1~~1fg;,{3Ef\p~Vf~y~1fttTff~fitl!S'~(j/30!2005 EMERGENCY MEDICAL SERVICES & TRAUMA, SYSTE !DENTIFICATION EMTap CERT. # 123787 Robert \V Steph~ns Roben Vi Stephens 100 A ider Street Phoenix, OR 97535-772 i ~ lIT: 6' 0" WT: 21 9 !-lAIR: Light Brown EYES: Brown T')~8 \ndj'!idu8'.: ;;::itTl8d a;:>:r'-.:e and cesc[it!scl en If:e rS'.../8r~>~, i.~;f rr:;~.: ca.tc! !I'a~; c,:;rTlP;,:,:t(=;.:j th2 rsql.):e;Yjen~-s set fr'f1t1 in {JHS i53~2 $t~9q, an:] ~:; r:erti~1t:G i="iS --:, L>n?c-~/.:( .:~t Er/~; '~f ,~.'...:.;:-: ~::=:n'"::-~ _ __~~~~:'::~::;~?__M_ ;:10 f::r-lerqepc-i \,'le,jic~l T8chnicf~n ~::i.! thp. 12ve;'(n;:j!cat~?d ,')..::r'..-'!.:~?-s ,-=,:;(} ',}; ,!:"'!C""".;.,,.-t'"':.O"'.""."""::-:-'-:--''''''.'''';:''''''''''':''':'"'~'- :_," :: """""''''''-,-''::''''''.'-:''' -=C".-":--:-:"'- ;c.,.."....-'C .,.,;"~,~:::~'""~.."...::.,.,..:.,.~-"'_-,'77:": :-<,.~~~'.--,'7.:.-..:..~. " . - -"- -' . Department of Human Services - Health Services Oregon E~RGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232 0 (503) 731-4011 . Fax (503) 731-4077 June 4, 2003 ~ Ryan E Stidham 220 W Rapp Rd #99 Talent, OR 97540 Congratulations on your recertification! Below is your new EMT-P certification card which expires 06/30/2005. Please review your certificate carefully. If there is an error 'in your name return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-0450 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of$10.00~ Please be aware that you areJ:equir~d !2pe farrriliar,vyit1:J. the Or~gol1 qdmiIlisJratjye rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealthlems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Rules are: Updates from the Director, a list of available classes from the mobile trairtin.g.... liI1it, continuing education requirements for all)evelsof EMTs, current EMS Update (newsletter),currentarticles of interest,EMS.hoi . - t?~i5S,A 'Na~dsBatlqll~tinf~11l1atio~,;EIvtSJorc;piIdren~ and a li~to(stC}f~Y?H c~p contactin ourof:fice fordifferentprogranis. -"- Thank you for your continual support and. involvement in Oregon EMS. ,--- - -- ~TAT~_2E:::,,9A~GO~ - - - - - -I-STAT~ o~ OREGO~- DEPARTI~ENT OF HUMAN SERVICES - I CERT. # 1~%~~G~~~'h~"k~1~~flii~~~6/3012005 I EM ERGENCY MEDICAL & TRAUMA SYSTEMS I Ryan E Stidha,ft1;..:{.; .,.,;;.~;",;c o.-;~',;."" I (!) EMT-P I 220 W Rapp ~d.'~9.~c:" , ' I ~ Ryan E I Talent, OR 97~40;,. '</ I ~ HT: 6' 0" I IE I The individual named above anddesbH~ed oi:Lthereverse of this card has I' =octl WT: 190 completed the requirementsself?rmiri.o..~S'68;2et sea and is certified as ~ I an Emergency Medical Tectinician,;~lt tljeJevelih.dicated I f~:" f\/f I:~ rJ(_(~"~l 1\/r[~T,)l(iAJ-, sr,{]<..\lJCl~\S #J 8001\lf:: eke,gon ,StTcel (~){.r'l [) eJ) art nJ en t () f J.'-f U ,1'11 an 5; erv j (:e;\-~; --,. J-J e aJ t1] 5:; e r"/ i :-~ Pori,hHHL (H( 972.:s2 ~ (503) 731-401 ! ~ r7ax (503) 7.3 J -4(}77 June 4; 2003 John ']' Stoy 955 (:irandvie"v Dr l\shJandJ OI{ 97520 C~ongratulatjons on yonr recertification! Belo\v is your ne\v E1\ff-P certification cardvvhich expires 06/30/2005. Please review your certiticate carefully. If there is an C1Tor in your name retunl your certificate in1nlediately to our office \vith the corrections. Send the certificate to: Enlergency Medical Services, POBox 14450, Portland, OI{ 97293-0450 and a corrected certificatc\villbe issued to you. Keep your certitlcate ina secure place. .DlIQlicates can beissuedtor a fee of $10.00. Please be a\vare that you are required tobeh1miIiar \viththe Oregonadlninisltrative rules pertailling to your certification. l'hese rules ate available on our web site under rules arid statutes at: WW'\V. dl1s. state. or. usipubHcheaIth/ems. You will always find the latest intolmation fromth:is office 011 the \veb site. 'VVe encourage you to use this tool frequently. Some itelns you\vill tind there other than the Adnlirii strati ve H.uIes are: Updates frolntheDitector, a list of available classes .fi'on1tlle mobile training unit, continuing education requirements tor all levels of E1VITs,.current E1\1S IJpdate (ne\vsletter),.current.articles of :interest, EMS.hot topics,A\vardsBanquetinfonnation,EMS for Children, and a list of staff you can CPtllactinour..ofnC'e tbrdi:tJerentprqgram$. ,J'b$llln:.}(@ll tQr),()~P2.,c:()ntirn~<"tIS1JPP9rt,al1d.inYQl\'~m~ntin~,Qr~gQU:,~NlS~,'- ~;-fj\TE ()r" OF{EGOr~ f;-rt\"fE- OF ()RF~t3()f-J - D(-:f'JAFrr~Ar~i\~'r ()F* i-~-HJr~~i\t-\~ SF:J1\/~C;E~ f EMERGENC't. MEOfCJ\L 1ECHN~CjAN eRRT. '# 1189Ji PARAIVJEDICEXPIRI<:S 06130/2005 Erv1ER"tJEt\J(~'{ tV1ED!(~i\l t)Efl\i~(;.r:~~~ & 1"R/\l}fvli\ S\y'ST1;~v1~; iDENT!FiC.AT~ON John T Stoy 955 Gnmdview Dr Ashland, OFt 97520 El\'lT. p. CER1\#118911 .John T Stoy' HT: {}' I" \VT: 195 HAIR: DarkBrown EYES: Blue Department of Human Services ~ Health Services EMERGENCY MEDICAL SERVICES. 800 NE Oregon Street Ste. 607 Portland, OR 97232. (503) 731-4011 . Fax (503) 731-4077 Jregon June 30, 2004 Todd C Stubbs 711 Palm St Medford, OR 97501 Congratulations on becoming an Oregon-certifiedEMT -P and a member of Oregon's professional prehospital emergency medical care team! Your passing score on the written examination was 82 %. Please review your certificate carefully. If there is an error in your name return your certificate immediately to our office with the corrections. Send the certificate to: Emergency Medical Services, PO Box 14450, Portland, OR 97293-04.50 and a corrected certificate will be issued to you. Keep your certificate in a secure place. Duplicates can be issued for a fee of $10.00. Please be aware that you are required to be familiar with the Oregon administrative rules pertaining to your certification. These rules are available on our web site under rules and statutes at: www.dhs.state.or.us/publichealth/ems. You will always find the latest information from this office on the web site. We encourage you to use this tool frequently. Some items you will find there other than the Administrative Ru.les are: Updates from the Director, a list ofavailable classes frQtn.the.IDQbile"trainingunit,..cQutinuingeducatl()n.requirements~ forualllevels. of.... E.....'.,M................'..,...T...............s,...',....... c...ll~en;,~~S.IJIJd~t.,.,. e.(n~'Ns;l~tteE,J,.c~rr~nt?.tt. ._..1... (;les. qf intYIf1~t".. .l3M~,bQt ..,...._ ", '~~'~~~.tdplcs7AWards Banquet inr6i111ation~ EMS f6:rChiIdren,al1da.'list of staff you can contact in aUf office for different programs. Again, welcome to the team. ,- - - - -- ~TAT~O-;;-OREGO;- - - - - - -I-STAT~ OF OREGON- DEPARTMENT OF HUMAN SERVICES ~ r I EMERGENCY MEDICAL TECHNICIAN I EMERGENCY MEDICAL SERVICES & TRAUMA SYSTEMS I CERT. # 130277 PARAMEDIC EXPIRES 06/30/2005 I IDENTIFICATION I Todd C Stubbs 1<1> EMT-P CERT. # 130277 I 711 Palm St I ~ Todd C Stubbs , Medford, OR 97501 I ~ I If The individual named above and described on the reverse of this card has I completed the requirements set forth in ORS 682 et sea, and is certified as I ~ I an Emergency Medica! Technician at the level ir;,dicated, I HT: 6' 2" HAIR: Light Brown WT: 200 EYES: Green /I . 1)(1 , ~ /~J.V j ,/C4--n~