Document Details





Instrument Number
202304182002229

Record Date
4/18/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202304182002229

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HYMAN, TIMOTHY PAUL

Date of Birth
6/1/1965

Type
Single

Processed By
COXD

Status
Approved

Online Test Passed
4/4/2023

Background Check Req?
False

Officiant Residence Address 1
15469 SW 147TH STREET

Officiant Residence City
MIAMI

Officiant Residence State
FLORIDA

Officiant Residence Zip
33196

Mailing Address same as Residence?
True

Officiant Mailing Address 1
15469 SW 147TH STREET

Officiant Mailing City
MIAMI

Officiant Mailing State
FLORIDA

Officiant Mailing Zip
33196

Officiant Phone 1
(305) 796-3074

Officiant Email Address
CACTIM@BELLSOUTH.NET

Ceremony Date
6/12/2023

Party 1 Name
CHMIELEWSKI, RONNIE

Party 2 Name
HYMAN, PATRICIA

Approved Date
4/18/2023

Certificate Expiration Date
6/13/2023