Document Details





Instrument Number
202210192006039

Record Date
10/19/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202210192006039

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HOULBERG, BRADY J

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/28/2022

Background Check Req?
False

Officiant Residence Address 1
100 SAINT JOSEPH AVENUE

Officiant Residence City
LONG BEACH

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
90803

Mailing Address same as Residence?
True

Officiant Mailing Address 1
100 SAINT JOSEPH AVENUE

Officiant Mailing City
LONG BEACH

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
90803

Officiant Phone 1
(562) 857-2266

Officiant Email Address
BRADYJON1@OUTLOOK.COM

Ceremony Date
10/27/2022

Party 1 Name
HOULBERG, JAMES

Party 2 Name
SPENCE, DAWN

Approved Date
10/19/2022

Certificate Expiration Date
10/28/2022