Document Details





Instrument Number
202102102000826

Record Date
2/10/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202102102000826

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
EVANS-KLOCK, CORWYN

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
6/25/2020

Background Check Req?
False

Officiant Residence Address 1
650 E AZURE AVE APT 2072

Officiant Residence City
NORTH LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89081

Officiant Mailing Address 1
650 E AZURE AVE APT 2072

Officiant Mailing City
NORTH LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89081

Officiant Phone 1
(909) 560-0547

Officiant Email Address
CORWYNEK@GMAIL.COM

Ceremony Date
4/3/2021

Party 1 Name
EXLEY, ALICIA

Party 2 Name
MAY, JOSEPH

Approved Date
2/10/2021

Certificate Expiration Date
4/4/2021