Document Details





Instrument Number
201903122001101

Record Date
3/12/2019

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201903122001101

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
ORTIZ-HERNANDEZ, GLORIA

Type
Single

Processed By
DOZALB

Status
EXPIRED

Online Test Passed
1/29/2019

Background Check Req?
False

Officiant Residence Address 1
616 SHADYDALE AVE

Officiant Residence City
LA PUENTE

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
91744

Officiant Mailing Address 1
616 SHADYDALE AVE

Officiant Mailing City
LA PUENTE

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
91744

Officiant Phone 1
(626) 533-4028

Officiant Email Address
GHERNANDEZ16631@GMAIL.COM

Ceremony Date
4/27/2019

Party 1 Name
MORAN, JENNIFER

Party 2 Name
LOPEZ, CHRISTOPHER

Approved Date
3/12/2019

Certificate Expiration Date
4/28/2019