Document Details





Instrument Number
202108052004610

Record Date
8/5/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108052004610

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
FONG, TIFFANY ANGELA

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
7/6/2021

Background Check Req?
False

Officiant Residence Address 1
4328 BOCA LAGO CIRCLE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89147

Officiant Mailing Address 1
4328 BOCA LAGO CIRCLE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89147

Officiant Phone 1
(702) 328-3889

Officiant Email Address
TIFFANYFONGLV@GMAIL.COM

Ceremony Date
10/15/2021

Party 1 Name
FONG, VICTORIA L

Party 2 Name
GUPTA, ANSHUL K

Approved Date
8/5/2021

Certificate Expiration Date
10/16/2021