Document Details





Instrument Number
202103312001895

Record Date
3/31/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202103312001895

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
FULLER, RICKY

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
3/1/2021

Background Check Req?
False

Officiant Residence Address 1
709 COUNTRY WOODS CIRCLE

Officiant Residence City
KISSIMMEE

Officiant Residence State
FLORIDA

Officiant Residence Zip
34744

Officiant Mailing Address 1
709 COUNTRY WOODS CIRCLE

Officiant Mailing City
KISSIMMEE

Officiant Mailing State
FLORIDA

Officiant Mailing Zip
34744

Officiant Phone 1
(407) 446-1104

Officiant Email Address
RFULLER102@GMAIL.COM

Ceremony Date
5/8/2021

Party 1 Name
NEWSOME, SUSAN

Party 2 Name
DIGGS, JASON

Approved Date
3/31/2021

Certificate Expiration Date
5/9/2021