DocDetails

Document Details

Instrument Number

202110012005915

Record Date

10/1/2021

Book Type

NOT - NOTARIES

Book/Page

Instrument #

202110012005915

Number of Pages

3

Doc Type

OFF - MINISTER/OFFICIANT

Officiant Name

HIGGINS, ANN

Type

Single

Processed By

GARCIAB

Status

Approved

Online Test Passed

9/26/2021

Background Check Req?

False

Officiant Residence Address 1

21 TALCOTT STREET

Officiant Residence City

SWOYERSVILLE

Officiant Residence State

PENNSYLVANIA

Officiant Residence Zip

18704

Officiant Mailing Address 1

3018 TARANTO HEIGHTS AVENUE

Officiant Mailing City

HENDERSON

Officiant Mailing State

NEVADA

Officiant Mailing Zip

89044

Officiant Phone 1

(370) 239-3657

Officiant Email Address

HIGGINS.ANN.M@GMAIL.COM

Ceremony Date

11/5/2021

Party 1 Name

TRAVER, EMMA

Party 2 Name

BOURGON, ANTHONY

Approved Date

10/1/2021

Certificate Expiration Date

11/6/2021