Document Details





Instrument Number
202109012005189

Record Date
9/1/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109012005189

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
EASTERLY, ANNE M.B.

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/31/2021

Background Check Req?
False

Officiant Residence Address 1
1463 SE SNOWBERRY AVENUE

Officiant Residence City
DALLAS

Officiant Residence State
OREGON

Officiant Residence Zip
97338

Officiant Mailing Address 1
1463 SE SNOWBERRY AVENUE

Officiant Mailing City
DALLAS

Officiant Mailing State
OREGON

Officiant Mailing Zip
97338

Officiant Phone 1
(503) 704-3968

Officiant Email Address
IAMANNEE@JUNO.COM

Ceremony Date
9/18/2021

Party 1 Name
SMITH, JEFF

Party 2 Name
ANDERSON, TANNA

Approved Date
9/1/2021

Certificate Expiration Date
9/19/2021