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 001861 KENDELL D JONES 7639 GIFFORD ST APT 202 NORFOLK VA 23518 0000 05/31/2026 12/04/2025 ILAS dynamik_kj@comcast.net