Commission Detail

Notary ID: 701514
Last Name: Clark
First Name: Keith D.
Middle Name:
Birth Date: 3/18/XX
Transaction Type: NEW
Certificate: CC 436352
Status: EXP
Issue Date: 02/01/95
Expire Date: 01/31/99
Bonding Agency: Western Surety Company
Mailing Address: Fort Walton Beach, FL 32547


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