Document Details





Instrument Number
202105282003195

Record Date
5/28/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202105282003195

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SHANNON, ERIN J

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
5/11/2021

Background Check Req?
False

Officiant Residence Address 1
200 W MANCHESTER RD

Officiant Residence City
SYRACUSE

Officiant Residence State
NEW YORK

Officiant Residence Zip
13219

Officiant Mailing Address 1
200 W MANCHESTER RD

Officiant Mailing City
SYRACUSE

Officiant Mailing State
NEW YORK

Officiant Mailing Zip
13219

Officiant Phone 1
(315) 559-0904

Officiant Email Address
EJS233@NYU.EDU

Ceremony Date
8/11/2021

Party 1 Name
DOERNER, NICHOLAS

Party 2 Name
CASSIDY, MICHELLE

Approved Date
5/28/2021

Certificate Expiration Date
8/12/2021