Document Details





Instrument Number
202109252005750

Record Date
9/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109252005750

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
PATERSON, SHANE E

Date of Birth
9/29/1964

Type
Long Term

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/28/2026

Background Check Req?
True

Background Check Cleared Date
9/15/2021

Officiant Residence Address 1
4915 E RUSSELL ROAD #182

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89120

Mailing Address same as Residence?
True

Officiant Mailing Address 1
4915 E RUSSELL ROAD #182

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89120

Officiant Phone 1
(702) 340-6906

Officiant Email Address
FTD2004-SEP@YAHOO.COM

Officiant Licensure Date
9/29/2021

Approved Date
9/30/2026

Certificate Expiration Date
9/30/2031

Notes
IN PERSON CLASS 9/29/21