Document Details





Instrument Number
201810082045149

Record Date
10/8/2018

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201810082045149

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
GRAY JR, ANTHONY PAUL

Type
Religious Official - Single Ceremony

Processed By
DOZALB

Status
EXPIRED

Background Check Req?
False

Officiant Residence Address 1
505 EISENHOWER DR

Officiant Residence City
CRESTVIEW

Officiant Residence State
FLORIDA

Officiant Residence Zip
32539

Officiant Mailing Address 1
505 EISENHOWER DR

Officiant Mailing City
CRESTVIEW

Officiant Mailing State
FLORIDA

Officiant Mailing Zip
32539

Officiant Phone 1
(618) 954-8722

Officiant Email Address
APGRAY1@YAHOO.COM

Officiant Licensure Date
9/3/2018

Ceremony Date
10/9/2018

Party 1 Name
BRITT, JOHN DOUGLAS

Party 2 Name
WADE, SHARI

Approved Date
10/8/2018

Certificate Expiration Date
10/10/2018