Document Details





Instrument Number
202109012005205

Record Date
9/1/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109012005205

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SHAFFER, BRIAN LOGAN THOMAS

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/18/2021

Background Check Req?
False

Officiant Residence Address 1
6280 CRAIGMONT AVENUE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89102

Officiant Mailing Address 1
6280 CRAIGMONT AVENUE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89102

Officiant Phone 1
(702) 410-0755

Officiant Email Address
BSHAFFER564@GMAIL.COM

Ceremony Date
10/9/2021

Party 1 Name
SHAFFER, NATILEE P

Party 2 Name
PREZGAY, JEFFREY D

Approved Date
9/1/2021

Certificate Expiration Date
10/10/2021