Document Details





Instrument Number
202203222001686

Record Date
3/22/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202203222001686

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
COMBS, TIMOTHY A

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
3/17/2022

Background Check Req?
False

Officiant Residence Address 1
37 MALLORY STREET

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89015

Mailing Address same as Residence?
True

Officiant Mailing Address 1
37 MALLORY STREET

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89015

Officiant Phone 1
(702) 762-0831

Officiant Email Address
DEMOGORGON196@YAHOO.COM

Ceremony Date
5/21/2022

Party 1 Name
ROSSOL, PATRICIA

Party 2 Name
SYLVIA, CHRISTOPHER ADDAM

Approved Date
3/22/2022

Certificate Expiration Date
5/22/2022