Document Details





Instrument Number
202201212000339

Record Date
1/21/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202201212000339

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
LEAVITT, JAMES T

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
1/3/2022

Background Check Req?
False

Officiant Residence Address 1
821 GRIFFITH AVENUE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89104

Mailing Address same as Residence?
False

Officiant Mailing Address 1
821 GRIFFITH AVENUE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89101

Officiant Phone 1
(702) 292-5062

Officiant Email Address
JAMESTLEAVITTESQ@GMAIL.COM

Ceremony Date
2/22/2022

Party 1 Name
IVASHKOV, GOLDA BORISNOVA

Party 2 Name
HOGAN, BRIAN DOUGLAS

Approved Date
1/21/2022

Certificate Expiration Date
2/23/2022