Instrument Number
201810122045270
Instrument #
201810122045270
Doc Type
OFF - MINISTER/OFFICIANT
Officiant Name
CARPENTER, BUSHAWN LEKEY
Type
Religious Official - Single Ceremony
Background Check Req?
False
Officiant Residence Address 1
1931 DILL RD APT 13
Officiant Residence City
BARSTOW
Officiant Residence State
CALIFORNIA
Officiant Residence Zip
92311
Officiant Mailing Address 1
400 S SECOND AVE SUITE 103
Officiant Mailing City
BARSTOW
Officiant Mailing State
CALIFORNIA
Officiant Mailing Zip
92311
Officiant Phone 1
(760) 718-8396
Officiant Email Address
BUSHAWNCARPENTER@YAHOO.COM
Officiant Licensure Date
12/28/2013
Party 1 Name
LAWSON, MIRKO
Certificate Expiration Date
11/13/2018
