Document Details





Instrument Number
201710042038589

Record Date
10/4/2017

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201710042038589

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
PLOEGMAN, VAN

Type
Long Term

Processed By
SUTHERLANDG

Status
EXPIRED

Background Check Req?
False

Background Check Cleared Date
10/3/2017

Officiant Residence Address 1
4476 LOS REYES CT

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89121

Officiant Mailing Address 1
4476 LOS REYES CT

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89121

Officiant Phone 1
(206) 557-0744

Officiant Email Address
MARIATUVAN@GMAIL.COM

Officiant Licensure Date
9/19/2017

Approved Date
10/4/2017

Certificate Expiration Date
12/31/2022

Renewal Notification Returned Date
1/1/1900