Document Details





Instrument Number
202006192002263

Record Date
6/19/2020

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202006192002263

Number of Pages
6

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SMALL-BROOKS, DELORIS

Date of Birth
10/28/1947

Type
Long Term

Processed By
DOZALB

Status
Approved

Online Test Passed
4/13/2026

Background Check Req?
True

Background Check Cleared Date
6/10/2020

Officiant Residence Address 1
9516 CHANTICLEER CT

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89129

Mailing Address same as Residence?
True

Officiant Mailing Address 1
9516 CHANTICLEER CT

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89129

Officiant Phone 1
(702) 372-3349

Officiant Phone 2
(702) 476-9855

Officiant Email Address
DELORISTOB@YAHOO.COM

Officiant Licensure Date
6/19/2020

Approved Date
6/20/2025

Certificate Expiration Date
6/20/2030

Notes
RENEWAL APP 4/22/26;