Instrument Number
202002012000592
Instrument #
202002012000592
Doc Type
OFF - MINISTER/OFFICIANT
Officiant Name
JENKINS, SAMARA RENEE
Background Check Req?
True
Background Check Cleared Date
1/10/2020
Officiant Residence Address 1
5400 S MARYLAND PARKWAY #169
Officiant Residence City
LAS VEGAS
Officiant Residence State
NEVADA
Officiant Residence Zip
89119
Officiant Mailing Address 1
5400 S MARYLAND PARKWAY #169
Officiant Mailing City
LAS VEGAS
Officiant Mailing State
NEVADA
Officiant Mailing Zip
89119
Officiant Phone 1
(440) 344-7862
Officiant Email Address
SAMARA@UNIVERSITYUMC.ORG
Officiant Licensure Date
2/5/2020
Certificate Expiration Date
6/11/2020
Revoked Reason
Minister Request
Notes
CLASS ON 2/5/2020, 6/11/20BJ MOVING OUT OF STATE ASKED TO BE REMOVED