Cut Bank School District #15 3606F





I, (name of custodian of records), the duly appointed custodian of records for the Cut Bank School District No. 15, Glacier County, State of Montana, pursuant to 20- 1-213, MCA, do hereby certify that the attached is a true and correct copy of the student records of (name of student), maintained in my possession and under my control.


DATED this _____ day of _______________, 20__.





Custodian of Records

__________ School District No. ____




( S E A L )