Document Details





Instrument Number
202302242001053

Record Date
2/24/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202302242001053

Number of Pages
5

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
NITSOS, LOREN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
1/7/2023

Background Check Req?
False

Officiant Residence Address 1
7350 ANDRESSEN ROAD

Officiant Residence City
SHERIDAN

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
95681

Mailing Address same as Residence?
True

Officiant Mailing Address 1
7350 ANDRESSEN ROAD

Officiant Mailing City
SHERIDAN

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
95681

Officiant Phone 1
(916) 588-8663

Officiant Email Address
KNITSOS81@GMAIL.COM

Ceremony Date
3/18/2023

Party 1 Name
SMITH, JORDAN LEE

Party 2 Name
HEGJE, KAITLYN FRANCES

Approved Date
2/24/2023

Certificate Expiration Date
3/19/2023