Document Details





Instrument Number
202109252005767

Record Date
9/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109252005767

Number of Pages
2

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
KOLHOSS, KASEN KELLY

Type
Long Term

Processed By
GARCIAB

Status
Approved

Background Check Req?
True

Background Check Cleared Date
8/19/2021

Officiant Residence Address 1
2550 W RANCH ROAD

Officiant Residence City
MOAPA

Officiant Residence State
NEVADA

Officiant Residence Zip
89025

Officiant Mailing Address 1
P.O. BOX 834

Officiant Mailing City
MOAPA

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89025

Officiant Phone 1
(702) 305-6870

Officiant Email Address
KKOLHOSS@GMAIL.COM

Approved Date
9/29/2021

Certificate Expiration Date
9/29/2026

Notes
IN PERSON CLASS 9/29/21