Montana Department of Fish, Wildlife & Parks

Hunter Education
Certificate Of Completion
FWP Bear head logo
This is to certify that THOMAS J. JORGENSEN

has completed the required course of instruction in the safe handling of firearms and is qualified to purchase a Montana hunting license.

Certificate Number: B83659
Date of Birth: 1975-03-17
Date Certified: 1987-03-29
Instructor: Y15

DUPLICATE - Retain this certificate as a permanent record.