Document Details





Instrument Number
202302242001054

Record Date
2/24/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202302242001054

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BEAM, GERALD JOHN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
2/5/2023

Background Check Req?
False

Officiant Residence Address 1
4129 MITA WAY

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89141

Mailing Address same as Residence?
True

Officiant Mailing Address 1
4129 MITA WAY

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89141

Officiant Phone 1
(702) 813-8502

Officiant Email Address
JERRYBEAM@YAHOO.COM

Ceremony Date
4/1/2023

Party 1 Name
BEAM, COREY

Party 2 Name
STATZ, KAYLA

Approved Date
2/24/2023

Certificate Expiration Date
4/2/2023