Instrument Number
202101082000113
Instrument #
202101082000113
Doc Type
OFF - MINISTER/OFFICIANT
Officiant Name
DESPIRT, MADISON
Online Test Passed
12/28/2020
Background Check Req?
False
Officiant Residence Address 1
1344 W AUGUSTA BLVD APT 1
Officiant Residence City
CHICAGO
Officiant Residence State
ILLINOIS
Officiant Residence Zip
60642
Officiant Mailing Address 1
1344 W AUGUSTA BLVD APT 1
Officiant Mailing City
CHICAGO
Officiant Mailing State
ILLINOIS
Officiant Mailing Zip
60642
Officiant Phone 1
(775) 741-9652
Officiant Email Address
MADISON.DESPIRT@GMAIL.COM
Party 1 Name
BERESID, ALEXIS S
Party 2 Name
KEITH, DONALD A
Certificate Expiration Date
2/14/2021