Document Details





Instrument Number
202109252005780

Record Date
9/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109252005780

Number of Pages
11

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
COZAD, RICHARD CARL JOE

Type
Long Term

Processed By
GARCIAB

Status
Approved

Background Check Req?
True

Background Check Cleared Date
7/14/2021

Officiant Residence Address 1
1407 DOROTHY AVENUE #4

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89119

Officiant Mailing Address 1
1407 DOROTHY AVENUE #4

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89119

Officiant Phone 1
(702) 274-6049

Officiant Email Address
RICH2NB.1@GMAIL.COM

Approved Date
9/29/2021

Certificate Expiration Date
9/29/2026

Renewal Notification Returned Date
8/8/2026

Notes
IN PERSON CLASS 9/29/21