Document Details





Instrument Number
202309192005215

Record Date
9/19/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202309192005215

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SCARBROUGH, KATHERINE

Date of Birth
12/20/1991

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
8/29/2023

Background Check Req?
False

Officiant Residence Address 1
1991 MADISON AVENUE APT 3

Officiant Residence City
NEW YORK

Officiant Residence State
NEW YORK

Officiant Residence Zip
10035

Officiant Mailing Address 1
50 EAST 127TH STREET

Officiant Mailing City
NEW YORK

Officiant Mailing State
NEW YORK

Officiant Mailing Zip
10035

Officiant Phone 1
(256) 493-6290

Officiant Email Address
KATHERINE.ANN.SCARBROUGH@GMAIL.COM

Ceremony Date
10/20/2023

Party 1 Name
CLARK, ALEXANDRA

Party 2 Name
JENSEN, MATTHEW

Approved Date
9/19/2023

Certificate Expiration Date
10/21/2023

Notes
HELD FOR PICK UP REQUESTED BY COUPLE