Instrument Number
202110012005938
Instrument #
202110012005938
Doc Type
OFF - MINISTER/OFFICIANT
Officiant Name
MIXON, SHARISSE R
Background Check Req?
True
Background Check Cleared Date
7/15/2021
Officiant Residence Address 1
2119 PILLAR POINTE STREET
Officiant Residence City
LAS VEGAS
Officiant Residence State
NEVADA
Officiant Residence Zip
89115
Officiant Mailing Address 1
2119 PILLAR POINTE STREET
Officiant Mailing City
LAS VEGAS
Officiant Mailing State
NEVADA
Officiant Mailing Zip
89115
Officiant Phone 1
(424) 321-0123
Officiant Email Address
ONPOINT.LIVESCAN@GMAIL.COM
Certificate Expiration Date
10/6/2026
Renewal Notification Returned Date
9/26/2026
Notes
IN PERSON CLASS 10/6/21