Document Details





Instrument Number
202110122006125

Record Date
10/12/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202110122006125

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
WILCOX, CODY DANIEL

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/12/2021

Background Check Req?
False

Officiant Residence Address 1
24 HILL STREET

Officiant Residence City
RUTH

Officiant Residence State
NEVADA

Officiant Residence Zip
89139

Officiant Mailing Address 1
24 HILL STREET

Officiant Mailing City
RUTH

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89139

Officiant Phone 1
(775) 235-3466

Officiant Email Address
CODY.LEADS@GMAIL.COM

Ceremony Date
11/14/2021

Party 1 Name
GARDNER, DARLENE SUSAN

Party 2 Name
CONNERS, PATRICK MICHAEL

Approved Date
10/12/2021

Certificate Expiration Date
11/15/2021