Document Details





Instrument Number
202010022004219

Record Date
10/2/2020

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202010022004219

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
MORADIAN, FIROOZ P

Date of Birth
4/28/1984

Type
Long Term

Processed By
COOKP

Status
Approved

Online Test Passed
9/17/2020

Background Check Req?
True

Officiant Residence Address 1
6845 JUNGLE FOWL STREET

Officiant Residence City
NORTH LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89084

Mailing Address same as Residence?
True

Officiant Mailing Address 1
6845 JUNGLE FOWL STREET

Officiant Mailing City
NORTH LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89084

Officiant Phone 1
(702) 884-0971

Officiant Email Address
FIROOZPM@GMAIL.COM

Officiant Licensure Date
10/10/2020

Approved Date
10/11/2025

Certificate Expiration Date
10/11/2030

Notes
TOOK CLASS ON 11/4/20PC; UPDATE FORM 5/1/25; RENEWAL APP 5/27/25