BOARD OCCUPATION CERTIFICATE # INDIVIDUAL NAME BUSINESS NAME FIRST LINE ADDRESS SECOND LINE ADDRESS P O BOX # CITY STATE FIVE DIGIT ZIP CODE ZIP CODE EXTENSION PROVINCE COUNTRY POSTAL CODE EXPIRATION DATE CERTIFICATION DATE LICENSE RANK LICENSE SPECIALTY EMAILADDRESS 33 41 001834 TONY MIDENCE PO BOX 28652 HENRICO VA 23228 0000 07/31/2024 03/27/2024 ILAS tony@bergmanbrothers.com 33 41 001832 CARL W THOMAS 70 WILSON LN FISHERSVILLE VA 22939 0000 04/30/2024 12/21/2023 ILAS thomas.carl@yhaoo.com