Document Details





Instrument Number
202303102001360

Record Date
3/10/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202303102001360

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
KRUSE, SAMUEL

Type
Single

Processed By
COXD

Status
Approved

Online Test Passed
2/19/2023

Background Check Req?
False

Officiant Residence Address 1
11550 ELCADORE ST

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89183

Mailing Address same as Residence?
True

Officiant Mailing Address 1
11550 ELCADORE ST

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89183

Officiant Phone 1
(480) 435-6695

Officiant Email Address
SAMUELDKRUSE@GMAIL.COM

Officiant Licensure Date
3/10/2023

Ceremony Date
4/15/2023

Party 1 Name
ARNOLD, JOSHUA

Party 2 Name
MORA, CATRINA

Approved Date
3/10/2023

Certificate Expiration Date
4/16/2023