Document Details





Instrument Number
202108252005048

Record Date
8/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108252005048

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
JOHNSON, RUSSELL PAUL

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
7/3/2021

Background Check Req?
False

Officiant Residence Address 1
5724 SOUTH BLACKSTONE AVENUE 2E

Officiant Residence City
CHICAGO

Officiant Residence State
ILLINOIS

Officiant Residence Zip
60637

Officiant Mailing Address 1
5724 SOUTH BLACKSTONE AVENUE 2E

Officiant Mailing City
CHICAGO

Officiant Mailing State
ILLINOIS

Officiant Mailing Zip
60637

Officiant Phone 1
(508) 333-1572

Officiant Email Address
RPJOHNSON@UCHICAGO.EDU

Ceremony Date
10/8/2021

Party 1 Name
POTTS, COURTNEY

Party 2 Name
O'BRIEN, SEAN

Approved Date
8/25/2021

Certificate Expiration Date
10/9/2021