Document Details





Instrument Number
202110012005938

Record Date
10/1/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202110012005938

Number of Pages
11

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
MIXON, SHARISSE R

Type
Long Term

Processed By
GARCIAB

Status
Approved

Background Check Req?
True

Background Check Cleared Date
7/15/2021

Officiant Residence Address 1
2119 PILLAR POINTE STREET

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89115

Officiant Mailing Address 1
2119 PILLAR POINTE STREET

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89115

Officiant Phone 1
(424) 321-0123

Officiant Email Address
ONPOINT.LIVESCAN@GMAIL.COM

Approved Date
10/6/2021

Certificate Expiration Date
10/6/2026

Renewal Notification Returned Date
9/26/2026

Notes
IN PERSON CLASS 10/6/21