Document Details





Instrument Number
201810122045269

Record Date
10/12/2018

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201810122045269

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SULLIVAN, DENNIS

Type
Religious Official - Single Ceremony

Processed By
COOKP

Status
EXPIRED

Background Check Req?
False

Officiant Residence Address 1
718 CHARLES POND DR

Officiant Residence City
CORAM

Officiant Residence State
NEW YORK

Officiant Residence Zip
11727

Officiant Mailing Address 1
718 CHARLES POND DR

Officiant Mailing City
CORAM

Officiant Mailing State
NEW YORK

Officiant Mailing Zip
11727

Officiant Phone 1
(631) 235-8761

Officiant Email Address
DRSULLIVAN24@YAHOO.COM

Officiant Licensure Date
7/2/2018

Ceremony Date
11/10/2018

Party 1 Name
ROSARIO, ELAN

Party 2 Name
MITTLEMAN, SCOTT

Approved Date
10/12/2018

Certificate Expiration Date
11/11/2018