Document Details





Instrument Number
201810122045268

Record Date
10/12/2018

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201810122045268

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SMITH III, THOMAS M

Type
Religious Official - Single Ceremony

Processed By
COOKP

Status
EXPIRED

Background Check Req?
False

Officiant Residence Address 1
424 HIDDEN BROOK CT

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89015

Officiant Mailing Address 1
424 HIDDEN BROOK CT

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89015

Officiant Phone 1
(702) 494-9564

Officiant Email Address
TMS3RDS@HOTMAIL.COM

Officiant Licensure Date
6/25/2018

Ceremony Date
12/15/2018

Party 1 Name
THOMAS, JORDAN LEE

Party 2 Name
NEILSON, CODIE LYNETTE

Approved Date
10/12/2018

Certificate Expiration Date
12/16/2018