Document Details





Instrument Number
202110012005925

Record Date
10/1/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202110012005925

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
DAZLEY, JASON

Date of Birth
10/2/1973

Type
Long Term

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/17/2026

Background Check Req?
True

Background Check Cleared Date
7/23/2021

Officiant Residence Address 1
5705 OASIS RIDGE ST

Officiant Residence City
NORTH LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89031

Mailing Address same as Residence?
True

Officiant Mailing Address 1
5705 OASIS RIDGE ST

Officiant Mailing City
NORTH LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89031

Officiant Phone 1
(732) 259-8446

Officiant Email Address
JSNDAZLEY@GMAIL.COM

Approved Date
10/6/2021

Certificate Expiration Date
10/6/2031

Notes
IN PERSON CLASS 10/6/21; PROCESSED RENEWAL