Document Details





Instrument Number
202304182002212

Record Date
4/18/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202304182002212

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BURRISS, THERESA

Date of Birth
2/2/1966

Type
Single

Processed By
COXD

Status
Approved

Online Test Passed
4/2/2023

Background Check Req?
False

Officiant Residence Address 1
21300 GOLDEN VIEW DRIVE

Officiant Residence City
BRISTOL

Officiant Residence State
VIRGINIA

Officiant Residence Zip
24202

Mailing Address same as Residence?
True

Officiant Mailing Address 1
21300 GOLDEN VIEW DRIVE

Officiant Mailing City
BRISTOL

Officiant Mailing State
VIRGINIA

Officiant Mailing Zip
24202

Officiant Phone 1
(540) 230-8499

Officiant Email Address
TBURRISS@RADFORD.EDU

Ceremony Date
5/20/2023

Party 1 Name
SALCA, JULIA

Party 2 Name
LONITA, FLORIN

Approved Date
4/18/2023

Certificate Expiration Date
5/21/2023