Commission Detail
| Notary ID: | 776039 |
| Last Name: | Weitzel, Jr. MD |
| First Name: | Charles |
| Middle Name: | J. |
| Birth Date: | 10/24/XX |
| Transaction Type: | NEW |
| Certificate: | CC 615210 |
| Status: | EXP |
| Issue Date: | 01/23/97 |
| Expire Date: | 01/22/01 |
| Bonding Agency: | Gibson and Wirt, Inc. |
| Mailing Address: | Plant City, FL 33566 |
[Department
of State][Notary
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Florida
Department of State Division of Corporations
P.O. Box 6327
Tallahassee, FL. 32314
Phone (850) 245-6975