Document Details





Instrument Number
202302242001032

Record Date
2/24/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202302242001032

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
DANNEN, RANDALL CODY

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
2/12/2023

Background Check Req?
False

Officiant Residence Address 1
1843 E ELDORADO LANE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89123

Mailing Address same as Residence?
True

Officiant Mailing Address 1
1843 E ELDORADO LANE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89123

Officiant Phone 1
(702) 610-0421

Officiant Email Address
RCDANNEN@GMAIL.COM

Ceremony Date
3/18/2023

Party 1 Name
DANNEN, SAMANTHA

Party 2 Name
GURTOWSKI, IAN

Approved Date
2/24/2023

Certificate Expiration Date
3/19/2023