B A S I C L I F E S U P P O R T B A S I C L I F E S U P P O R T

BLS Training
Sierra Medical Services Alliance (SEMSA), d/b/a RIGGS

Provider Center Name

Training
Sergio Rodriguez CA20878
Center ID
The above individual has successfully completed the cognitive and skills 1743 Ashby
evaluations in accordance with the curriculum of the American Heart TC Address
Merced CA 95340 USA
Association Basic Life Support (CPR and AED) Program.
TC Phone 209-386-1964

Issue Date Recommended Renewal Date

Instructor
Name Gerald Fragasso
1/5/2019 01/2021
To view or verify authenticity, students and employers Instructor ID 03060034140
should scan this QR code with their mobile device or
go to www.heart.org/cpr/mycards.
© 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