Document Details





Instrument Number
202104052001981

Record Date
4/5/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202104052001981

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
CIFELLI, SHELLY

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
4/2/2021

Background Check Req?
False

Officiant Residence Address 1
2619 KANEL CIRCLE

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89074

Officiant Mailing Address 1
2619 KANEL CIRCLE

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89074

Officiant Phone 1
(702) 379-2922

Officiant Email Address
SHELLYCIEFLLI@COX.NET

Ceremony Date
5/5/2021

Party 1 Name
LAZARO, BRIANNA

Party 2 Name
JENSEN, NINA

Approved Date
4/5/2021

Certificate Expiration Date
5/6/2021