Document Details





Instrument Number
202101132000207

Record Date
1/13/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202101132000207

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
JOHNS-FUQUA, CAROLYNE

Date of Birth
6/11/1945

Type
Long Term

Processed By
COOKP

Status
Approved

Online Test Passed
12/23/2025

Background Check Req?
True

Background Check Cleared Date
12/10/2020

Officiant Residence Address 1
4427 LOS REYES CT

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89121

Officiant Mailing Address 1
4427 LOS REYES CT

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89121

Officiant Phone 1
(310) 908-6447

Officiant Email Address
CJFUQUA@GMAIL.COM

Officiant Licensure Date
1/4/2021

Approved Date
1/5/2026

Certificate Expiration Date
1/5/2031

Notes
ONLINE COURSE COMPLETED 1/4/2021; RENEWAL APP 1/10/25