Document Details





Instrument Number
202108172004830

Record Date
8/17/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108172004830

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
GREEN, SHEALYN MICHELLE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/3/2021

Background Check Req?
False

Officiant Residence Address 1
7566 EARNSHAW AVENUE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89179

Officiant Mailing Address 1
7566 EARNSHAW AVENUE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89179

Officiant Phone 1
(702) 204-4073

Officiant Email Address
SHEALYN.GREEN@GMAIL.COM

Ceremony Date
9/17/2021

Party 1 Name
GOTTI-GINGRAS, BRIAN W

Party 2 Name
HO, LEILANI D

Approved Date
8/17/2021

Certificate Expiration Date
9/18/2021