Document Details





Instrument Number
202101122000183

Record Date
1/12/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202101122000183

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SIMON, GREGORY H

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
1/3/2021

Background Check Req?
False

Officiant Residence Address 1
2501 S TORREY PINES DR #1290

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89118

Officiant Mailing Address 1
2501 S TORREY PINES DR #1290

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89118

Officiant Phone 1
(702) 324-0432

Officiant Email Address
BOOGSKID@ICLOUD.COM

Ceremony Date
2/28/2021

Party 1 Name
SEGURA, GABRIEL E

Party 2 Name
ESAU, LINDA B

Approved Date
1/12/2021

Certificate Expiration Date
3/1/2021