Document Details





Instrument Number
202110122006129

Record Date
10/12/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202110122006129

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
RADLICKI, ARTHUR B

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/25/2021

Background Check Req?
False

Officiant Residence Address 1
3800 WINERY ROAD

Officiant Residence City
PAHRUMP

Officiant Residence State
NEVADA

Officiant Residence Zip
89048

Officiant Mailing Address 1
3800 WINERY ROAD

Officiant Mailing City
PAHRUMP

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89048

Officiant Phone 1
(906) 280-9162

Officiant Email Address
REVRAD65@GMAIL.COM

Ceremony Date
11/14/2021

Party 1 Name
DURY, AMANDA P

Party 2 Name
MOORE, ALEX P

Approved Date
10/12/2021

Certificate Expiration Date
11/15/2021