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 13 00 010548 RALPH S WILLIAMS 125 BOOKERDALE RD APT 6 WAYNESBORO VA 22980 0000 02/04/2026 11/06/2025 BTP mr22980@gmail.com 13 00 010549 EARL A BURRELL III 2010 BUFFALO RD LONG ISLAND VA 24569 0000 01/31/2026 11/25/2025 BTP burrellez@gmail.com