Document Details





Instrument Number
202307132003866

Record Date
7/13/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202307132003866

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
CARLSON, JOSEPH H

Date of Birth
9/8/1950

Type
Single

Processed By
COXD

Status
Approved

Online Test Passed
6/27/2023

Background Check Req?
False

Officiant Residence Address 1
50 PIT RD

Officiant Residence City
WILLINGTON

Officiant Residence State
NEVADA

Officiant Residence Zip
89444

Officiant Mailing Address 1
PO BOX 334

Officiant Mailing City
WILLINGTON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89444

Officiant Phone 1
(775) 782-6051

Officiant Email Address
CARLSON_CUJO@YAHOO.COM

Ceremony Date
8/5/2023

Party 1 Name
BIGGS, JADEN S

Party 2 Name
REICH, SIDNEY N

Approved Date
7/13/2023

Certificate Expiration Date
8/6/2023