Document Details





Instrument Number
202108252005042

Record Date
8/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108252005042

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
COZAD, RICHARD CARL JOE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/18/2021

Background Check Req?
False

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) 736-1601

Officiant Email Address
RICH2NB.1@GMAIL.COM

Ceremony Date
8/28/2021

Party 1 Name
DOLAN, HOWARD PEAVEY

Party 2 Name
TATAY, CHRISTINA YVONNE

Approved Date
8/25/2021

Certificate Expiration Date
8/29/2021