Commission Detail
| Notary ID: | 1107102 |
| Last Name: | PROVENCAL |
| First Name: | THOMAS |
| Middle Name: | SCOTT |
| Birth Date: | 6/3/XX |
| Transaction Type: | REN |
| Certificate: | DD 920171 |
| Status: | EXP |
| Issue Date: | 10/13/09 |
| Expire Date: | 10/12/13 |
| Bonding Agency: | American Safety Council |
| Mailing Address: | 4290 James St Unit 8 Port Charlotte, FL 33980-0000 |
[Department
of State][Notary
Public Access System][Email
Us]
Florida
Department of State Division of Corporations
P.O. Box 6327
Tallahassee, FL. 32314
Phone (850) 245-6975