Document Details





Instrument Number
202109022005255

Record Date
9/2/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109022005255

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HAGAN, CHARLES RICHARD

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/24/2021

Background Check Req?
False

Officiant Residence Address 1
17476 W 83RD DRIVE

Officiant Residence City
ARVADA

Officiant Residence State
COLORADO

Officiant Residence Zip
80007

Officiant Mailing Address 1
17476 W 83RD DRIVE

Officiant Mailing City
ARVADA

Officiant Mailing State
COLORADO

Officiant Mailing Zip
80007

Officiant Phone 1
(970) 333-1313

Officiant Email Address
CHERIELYNNH@COMCAST.NET

Ceremony Date
10/9/2021

Party 1 Name
HERKENHAM, ZEKE

Party 2 Name
HERNANDEZ, KELSEY

Approved Date
9/2/2021

Certificate Expiration Date
10/10/2021