Document Details





Instrument Number
202101082000119

Record Date
1/8/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202101082000119

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
O'CONNELL IV, KENNETH P

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
12/9/2020

Background Check Req?
False

Officiant Residence Address 1
5135 PEAK CLIMB DR

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89135

Officiant Mailing Address 1
5135 PEAK CLIMB DR

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89135

Officiant Phone 1
(702) 328-3734

Officiant Email Address
KJOCONNELL@ME.COM

Ceremony Date
2/17/2021

Party 1 Name
COOPER, ANDREA

Party 2 Name
WILLARDSEN, JAMES A

Approved Date
1/8/2021

Certificate Expiration Date
2/18/2021