Document Details





Instrument Number
202105282003196

Record Date
5/28/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202105282003196

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
WILSON, PHILLIP N

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
5/10/2021

Background Check Req?
False

Officiant Residence Address 1
544 PENZANCE COURT

Officiant Residence State
LAS VEGAS

Officiant Residence Zip
NV

Officiant Mailing Address 1
89178

Officiant Mailing Address 2
544 PENZANCE COURT

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89178

Officiant Phone 1
(301) 943-8358

Officiant Email Address
PWILSON319@GMAIL.COM

Ceremony Date
6/25/2021

Party 1 Name
SANTOS, ROLAND

Party 2 Name
DEEM, CHRISTINE

Approved Date
5/28/2021

Certificate Expiration Date
6/26/2021