Document Details





Instrument Number
202301272000497

Record Date
1/27/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202301272000497

Number of Pages
2

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
CICCOTELLI, JASON A

Type
Long Term

Processed By
GARCIAB

Status
Approved

Background Check Req?
True

Background Check Cleared Date
12/20/2022

Officiant Residence Address 1
1453 BRITTANY SHORES DRIVE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89123

Mailing Address same as Residence?
True

Officiant Mailing Address 1
1453 BRITTANY SHORES DRIVE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89123

Officiant Phone 1
(702) 406-6108

Officiant Email Address
JAY.CICCOTELLI@GMAIL.COM

Approved Date
2/1/2023

Certificate Expiration Date
2/1/2028

Notes
IN PERSON CLASS 2/1/2023