Document Details





Instrument Number
202108252005028

Record Date
8/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108252005028

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
KOSLOSKE, ANDREW JOSEPH

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/10/2021

Background Check Req?
False

Officiant Residence Address 1
1015 SAN EDUARDO AVENUE

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89002

Officiant Mailing Address 1
1015 SAN EDUARDO AVENUE

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89002

Officiant Phone 1
(702) 488-2251

Officiant Email Address
ANDREWJK@BHHSNV.COM

Ceremony Date
10/2/2021

Party 1 Name
MERRELL JR, KEITH

Party 2 Name
CAMPO, BRITTANY

Approved Date
8/25/2021

Certificate Expiration Date
10/3/2021