Document Details





Instrument Number
201908222004196

Record Date
8/22/2019

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201908222004196

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
RANDALL, DAVID JAMES

Type
Single

Processed By
COOKP

Status
EXPIRED

Online Test Passed
8/20/2019

Background Check Req?
False

Officiant Residence Address 1
1534 MANCHA DRIV

Officiant Residence City
BOULDER CITY

Officiant Residence State
NEVADA

Officiant Residence Zip
89005

Officiant Mailing Address 1
1534 MANCHA DRIVE

Officiant Mailing City
BOULDER CITY

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89005

Officiant Phone 1
(702) 769-3716

Officiant Email Address
DAVIDJRANDALL10@GMAIL.COM

Ceremony Date
9/4/2019

Party 1 Name
PETERSEN, HEIDI

Party 2 Name
NANDI, DOUGLAS

Approved Date
8/22/2019

Certificate Expiration Date
9/5/2019