Document Details





Instrument Number
202212072006822

Record Date
12/7/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202212072006822

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BIRCHFIELD, ROXANNE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
10/4/2022

Background Check Req?
False

Officiant Residence Address 1
1669 TROY AVENUE

Officiant Residence City
BROOKLYN

Officiant Residence State
NEW YORK

Officiant Residence Zip
11234

Mailing Address same as Residence?
True

Officiant Mailing Address 1
1669 TROY AVENUE

Officiant Mailing City
BROOKLYN

Officiant Mailing State
NEW YORK

Officiant Mailing Zip
11234

Officiant Phone 1
(347) 526-1993

Officiant Email Address
MARRIEDBYREVROXY@GMAIL.COM

Ceremony Date
1/14/2023

Party 1 Name
MOTEN, JEFFERY D

Party 2 Name
PRESSEY, TARRA L

Approved Date
12/7/2022

Certificate Expiration Date
1/15/2023