Document Details





Instrument Number
202307132003864

Record Date
7/13/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202307132003864

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
FRASER III, GEORGE C

Date of Birth
1/4/1942

Type
Single

Processed By
COXD

Status
Approved

Online Test Passed
6/26/2023

Background Check Req?
False

Officiant Residence Address 1
8 REFLECTION COVE DR

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89011

Mailing Address same as Residence?
True

Officiant Mailing Address 1
8 REFLECTION COVE DR

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89011

Officiant Phone 1
(408) 313-1165

Officiant Email Address
GEORGEFRASER3@YAHOO.COM

Ceremony Date
9/23/2023

Party 1 Name
STUFFLEBEEM, NORMAN L

Party 2 Name
SHERIDAN, MERRETT A

Approved Date
7/13/2023

Certificate Expiration Date
9/24/2023