Document Details





Instrument Number
202109012005192

Record Date
9/1/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109012005192

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
NELSON, LYNN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/17/2021

Background Check Req?
False

Officiant Residence Address 1
4429 BROKEN BOW CIRCLE

Officiant Residence City
NORTH LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89032

Officiant Mailing Address 1
4429 BROKEN BOW CIRCLE

Officiant Mailing City
NORTH LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89032

Officiant Phone 1
(702) 281-9267

Officiant Email Address
NELSONLYN@MSN.COM

Ceremony Date
9/18/2021

Party 1 Name
LEOBOLD, GARY MICHAEL

Party 2 Name
KOLAR, TERRIE JEAN

Approved Date
9/1/2021

Certificate Expiration Date
9/19/2021