Document Details





Instrument Number
202210192006063

Record Date
10/19/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202210192006063

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HENSZ, LISA MICHELLE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/21/2022

Background Check Req?
False

Officiant Residence Address 1
4 SHADED WAY

Officiant Residence City
ROUND ROCK

Officiant Residence State
TEXAS

Officiant Residence Zip
78664

Mailing Address same as Residence?
True

Officiant Mailing Address 1
4 SHADED WAY

Officiant Mailing City
ROUND ROCK

Officiant Mailing State
TEXAS

Officiant Mailing Zip
78664

Officiant Phone 1
(512) 757-2079

Officiant Email Address
1HENSZ@GMAIL.COM

Ceremony Date
11/19/2022

Party 1 Name
BOHMAN, LESLEY

Party 2 Name
REEVES, CHENELL

Approved Date
10/19/2022

Certificate Expiration Date
11/20/2022