Document Details





Instrument Number
202102042000689

Record Date
2/4/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202102042000689

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
MAYER, TAMMY

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
1/19/2021

Background Check Req?
False

Officiant Residence Address 1
10260 WASHINGTON ST APT 535

Officiant Residence City
THORNTON

Officiant Residence State
COLORADO

Officiant Residence Zip
80229

Officiant Mailing Address 1
10260 WASHINGTON ST APT 535

Officiant Mailing City
THORNTON

Officiant Mailing State
COLORADO

Officiant Mailing Zip
80229

Officiant Phone 1
(720) 298-6777

Officiant Email Address
SPRING7966@MSN.COM

Ceremony Date
3/13/2021

Party 1 Name
MITCHELL, LAURA

Party 2 Name
ORTIZ, GABRIEL

Approved Date
2/4/2021

Certificate Expiration Date
3/14/2021