Document Details





Instrument Number
201808072044006

Record Date
8/7/2018

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201808072044006

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SMITH, ANDREW RALPH

Type
Religious Official - Single Ceremony

Processed By
DOZALB

Status
EXPIRED

Background Check Req?
False

Officiant Residence Address 1
10690 NW 2 CIRCLE

Officiant Residence City
PEMBROKE PINES

Officiant Residence State
FLORIDA

Officiant Residence Zip
33026

Officiant Mailing Address 1
10690 NW 2 CIRCLE

Officiant Mailing City
PEMBROKE PINES

Officiant Mailing State
FLORIDA

Officiant Mailing Zip
33026

Officiant Phone 1
(786) 222-7637

Officiant Email Address
ASMITTYFL@AOL.COM

Officiant Licensure Date
4/30/2018

Ceremony Date
9/20/2018

Party 1 Name
HORINE, BRANDON MICHAEL

Party 2 Name
SIMMONS, HEATHER COLLEEN

Approved Date
8/7/2018

Certificate Expiration Date
9/21/2018