Document Details





Instrument Number
202205102002818

Record Date
5/10/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202205102002818

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
NEUBAUER, RICKY

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
3/14/2022

Background Check Req?
False

Officiant Residence Address 1
226 E CLARK AVENUE

Officiant Residence City
AUGUSTA

Officiant Residence State
KANSAS

Officiant Residence Zip
67010

Mailing Address same as Residence?
True

Officiant Mailing Address 1
226 E CLARK AVENUE

Officiant Mailing City
AUGUSTA

Officiant Mailing State
KANSAS

Officiant Mailing Zip
67010

Officiant Phone 1
(620) 340-2508

Officiant Email Address
PASTORRICKN2@HOTMAIL.COM

Ceremony Date
6/11/2022

Party 1 Name
DERFLINGER, KIMBERLY ANN

Party 2 Name
LAMOYA JR, WILLIAM STEPHEN

Approved Date
5/10/2022

Certificate Expiration Date
6/12/2022

Renewal Notification Returned Date
1/1/1900