Document Details





Instrument Number
202108252005047

Record Date
8/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108252005047

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
LOPEZ II, CLIFTON JOHN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/19/2021

Background Check Req?
False

Officiant Residence Address 1
301 N LAKE CUNNINGHAM AVENUE

Officiant Residence City
ST JOHNS

Officiant Residence State
FLORIDA

Officiant Residence Zip
32259

Officiant Mailing Address 1
301 N LAKE CUNNINGHAM AVENUE

Officiant Mailing City
ST JOHNS

Officiant Mailing State
FLORIDA

Officiant Mailing Zip
32259

Officiant Phone 1
(719) 332-0392

Officiant Email Address
CJLOPEZII@YMAIL.COM

Ceremony Date
10/5/2021

Party 1 Name
LOPEZ, KATHRYN ANN

Party 2 Name
WEAVER, MATTHEW J

Approved Date
8/25/2021

Certificate Expiration Date
10/6/2021