Document Details





Instrument Number
202105222003036

Record Date
5/22/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202105222003036

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
EUBANK, BRUCE LEE

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
5/4/2021

Background Check Req?
False

Officiant Residence Address 1
4532 BRADPOINT DR

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89130

Officiant Mailing Address 1
4532 BRADPOINT DR

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89130

Officiant Phone 1
(702) 596-3100

Officiant Email Address
BSEUBANK@COX.NET

Ceremony Date
5/29/2021

Party 1 Name
RAYNOR, MELISSA

Party 2 Name
DEJONG, ERIC

Approved Date
5/22/2021

Certificate Expiration Date
5/30/2021