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WA

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ycal Union

INTL ASSN OF BRIDGE STRUCTURAL ORNAMENTAL AND

REINFORCING IRON WORKERS

HQ Dues Paid Thru: 04/2024

*/**/**** *****pt No: 635655

DUES PAID THRU APR 2024

Receipt Date:

1 Membership Dues DATE PAID 4/12/2024 32.50

1 LOCAL DUES PAID THRU 3/2024 8.00

“a 1 DEATH PAID THRU 3/2024 2.50

1 SICK AND ACCIDENT PAID THRU 3/2024 0.50

Name: ERMIS A BURGOS Negative/Current

Member No: 1544286 ** Prev Underpayment 0.50

Local No: 377 Total Amount Owed 44.00

05/18 FIA

Journeyman Amount Collected 44.00 Credit Card

Ironworker

32.50 CHARLES HERNANDEZFS-T, BM

LUL0412202

V08.07 — 2015/09

- IRONWORKER LOCAL UNION 377

- 570 Barneveld Avenue

- SAN FRANCISCO, CA 94124

- ERMIS A BURGOS

- *** UNKNOWN ADDRESS ***

Certifications

Name Effective Date Expiration Date

FIRSTAIDCPR FIRSTA 9/13/2023 9/13/2

Ironworker's National WCP A7e 7/12/2023 7/8/2

Ironworker's National WCP A7d 10/21/2021 10/21/2

Silica For Construction [WSIL 9/12/2023

Scaffold Erector/Dismantler IWSED 1/27/2023

Aerial and Scissor lift (MEWP) Training ... 3/12/2021

Forklift Hazard Awareness Training IWFKL... 3/12/2021

OSHA30 OSHA30 11/29/2018

SUBPARTR SUBPAR 9/15/2018

Fire Watch IWFIREW 6/23/2018

<< For additional certifications not listed, contact the local training center >>

Contact this candidate