Document Details





Instrument Number
202205102002772

Record Date
5/10/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202205102002772

Number of Pages
2

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
EISEN, ANDREW M

Type
Long Term

Processed By
GARCIAB

Status
Approved

Background Check Req?
True

Background Check Cleared Date
4/13/2022

Officiant Residence Address 1
2155 PESCARA COURT

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89123

Mailing Address same as Residence?
True

Officiant Mailing Address 1
2155 PESCARA COURT

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89123

Officiant Phone 1
(702) 419-4747

Officiant Email Address
ANDY@ANDYEISEN.COM

Approved Date
5/11/2022

Certificate Expiration Date
5/11/2027

Renewal Notification Returned Date
1/1/1900

Notes
IN PERSON CLASS 5/11/2022