Document Details





Instrument Number
202002012000587

Record Date
2/1/2020

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202002012000587

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
PHILLIPS, MICHAEL DEWAYNE

Date of Birth
5/7/1969

Type
Long Term

Processed By
COOKP

Status
Approved

Background Check Req?
True

Background Check Cleared Date
12/9/2019

Officiant Residence Address 1
289 VIA FRANCIOSA DRIVE

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89011

Officiant Mailing Address 1
289 VIA FRANCIOSA DRIVE

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89011

Officiant Phone 1
(702) 541-1763

Officiant Email Address
MIKNDIV@ICLOUD.COM

Officiant Licensure Date
2/5/2020

Approved Date
2/6/2025

Certificate Expiration Date
2/6/2030

Notes
CLASS ON 2/5/2020; RENEWAL APP 1/10/25