Document Details





Instrument Number
202404142001887

Record Date
4/14/2024

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202404142001887

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
YOUNG, BLUE M

Date of Birth
1/14/1975

Type
Single

Processed By
JOSEPHST

Status
Approved

Online Test Passed
3/11/2024

Background Check Req?
False

Officiant Residence Address 1
1730 SW CLAY ST

Officiant Residence City
PORTLAND

Officiant Residence State
OREGON

Officiant Residence Zip
97201

Mailing Address same as Residence?
True

Officiant Mailing Address 1
1730 SW CLAY ST

Officiant Mailing City
PORTLAND

Officiant Mailing State
OREGON

Officiant Mailing Zip
97201

Officiant Phone 1
(718) 309-3043

Officiant Email Address
BLUEMINERYOUNG@GMAIL.COM

Officiant Licensure Date
4/14/2024

Ceremony Date
5/11/2024

Party 1 Name
DOBBS, PALMER

Party 2 Name
GOLDEN, JOHNNA

Approved Date
4/14/2024

Certificate Expiration Date
5/12/2024