Document Details





Instrument Number
201808072044016

Record Date
8/7/2018

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201808072044016

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
EMBROGNO, SHIRLEY BELLE

Type
Religious Official - Single Ceremony

Processed By
DOZALB

Status
EXPIRED

Background Check Req?
False

Officiant Residence Address 1
868 LOCH KATRINE AVE

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89012

Officiant Mailing Address 1
868 LOCH KATRINE AVE

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89012

Officiant Phone 1
(702) 321-1000

Officiant Email Address
SHIRLEYEMBROGNO@GMAIL.COM

Officiant Licensure Date
2/7/2018

Ceremony Date
11/17/2018

Party 1 Name
LUBY, JORDAN

Party 2 Name
BETTENCOURT, ROBERT

Approved Date
8/7/2018

Certificate Expiration Date
11/18/2018