Document Details





Instrument Number
202105282003193

Record Date
5/28/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202105282003193

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
JESSIE, BYRON

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
5/19/2021

Background Check Req?
False

Officiant Residence Address 1
45180 DESERT SAND COURT

Officiant Residence City
LA QUINTA

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
92253

Officiant Mailing Address 1
45180 DESERT SAND COURT

Officiant Mailing City
LA QUINTA

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
92253

Officiant Phone 1
(760) 898-8984

Officiant Email Address
HQHOMEREPAIR@MSN.COM

Ceremony Date
6/30/2021

Party 1 Name
PINA, RICHARD

Party 2 Name
TAULE, TIFFANY

Approved Date
5/28/2021

Certificate Expiration Date
7/1/2021