Commission Detail

Notary ID: 1083178
Last Name: Blom
First Name: David
Middle Name: M.
Birth Date: 11/7/XX
Transaction Type: NEW
Certificate: DD 427129
Status: EXP
Issue Date: 05/09/05
Expire Date: 05/08/09
Bonding Agency: Atlantic Bonding Company
Mailing Address: 1198 20 St.
ORANGE CITY, FL 32763-0000


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Florida Department of State Division of Corporations
P.O. Box 6327
Tallahassee, FL. 32314
Phone (850) 245-6975