County Logo
Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109302005903

Record Date
9/30/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109302005903

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
GRABILL, ROGER WILLIAM

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/24/2021

Background Check Req?
False

Officiant Residence Address 1
3617 RITCHIE ROAD

Officiant Residence City
FAIRFIELD

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
94534

Officiant Mailing Address 1
3617 RITCHIE ROAD

Officiant Mailing City
FAIRFIELD

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
94534

Officiant Phone 1
(510) 289-9605

Officiant Email Address
DUCKBILL@NETWIZARDS.COM

Ceremony Date
10/31/2021

Party 1 Name
PETERSON, ANDREW

Party 2 Name
GRUYS, RAPHAELLE

Approved Date
9/30/2021

Certificate Expiration Date
11/1/2021