Document Details





Instrument Number
202105222003034

Record Date
5/22/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202105222003034

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
RACINE, PETER M

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
4/19/2021

Background Check Req?
False

Officiant Residence Address 1
7204 HANSON DRIVE S

Officiant Residence City
JACKSONVILLE

Officiant Residence State
FLORIDA

Officiant Residence Zip
32210

Officiant Mailing Address 1
7204 HANSON DRIVE S

Officiant Mailing City
JACKSONVILLE

Officiant Mailing State
FLORIDA

Officiant Mailing Zip
32210

Officiant Phone 1
(904) 465-5269

Officiant Email Address
RACINEP@COMCAST.NET

Ceremony Date
7/1/2021

Party 1 Name
STOKES, DEANNA

Party 2 Name
MCLEAN, DEANTHONY

Approved Date
5/22/2021

Certificate Expiration Date
7/2/2021