County Logo
Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202006032002002

Record Date
6/3/2020

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202006032002002

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BLOOM, KEVIN

Type
Single

Processed By
DOZALB

Status
EXPIRED

Online Test Passed
11/19/2019

Background Check Req?
False

Officiant Residence Address 1
3785 WILSHIRE BLVD #1501

Officiant Residence City
LOS ANGELES

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
90010

Officiant Mailing Address 1
3785 WILSHIRE BLVD #1501

Officiant Mailing City
LOS ANGELES

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
90010

Officiant Phone 1
(310) 795-5504

Officiant Email Address
KEVIN@KEVINBLOOM.COM

Ceremony Date
9/5/2020

Party 1 Name
MONG III, HARRY

Party 2 Name
OLOFSON, SAMANTHA

Approved Date
6/3/2020

Certificate Expiration Date
9/6/2020