Commission Detail

Notary ID: 787816
Last Name: Long
First Name: Kelley
Middle Name: R.
Birth Date: 3/24/XX
Transaction Type: AMD
Certificate: CC 780663
Status: EXP
Issue Date: 04/28/97
Expire Date: 04/27/01
Bonding Agency: Western Surety Company - Southeast Team
Mailing Address: Southport, FL 32409


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