224-22 RFQ-ED Arborists.pdf

TOWNSHIP OF WEST GRANGE KI DISCLO: CERTIFIC, I certify that the list below contains the names and home addresses of ail stockholders holding 10% or more of the issued and outstanding stock of the undersigned, \ certify that no one stockholder owns 10% or more of the Issued and outstanding stock of the undersigned. “a PLEASE CHECK TYPE OF BUSINESS ORGANIZATION: Partnership Limited Partnershi Limited Liability Corp Corporation Sole Proprietorship _| / Limited Liability Partnership ___ Subchapter $ Corp PLEASE CHECK APPROPRIATE BOXES AND SIGN BELOW Name: LVm Dillu vlo Home Address: WIE Old <hual Hees fed Bluivsboun, AAT O78AS Name: Home Address: Name. Home Address: Aullae Oumey Owner or Represenitative Signature Print Name & Title NOTORY PUBLIC I Sworn before me thisday of / 20% “aa radbradli NATHAN PENN COMMISSION 0050167130 NOTARY PUBLICNEW JERSEY MORRIS COUNTY < Comm Expires Aug, 02, 2028 PITTI Pace | 12