Document Details





Instrument Number
202205102002786

Record Date
5/10/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202205102002786

Number of Pages
2

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
WASHINGTON, PHILLIP DERON

Type
Long Term

Processed By
GARCIAB

Status
Approved

Background Check Req?
True

Background Check Cleared Date
1/10/2022

Officiant Residence Address 1
304 LANCE AVENUE

Officiant Residence City
NORTH LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89030

Mailing Address same as Residence?
True

Officiant Mailing Address 1
304 LANCE AVENUE

Officiant Mailing City
NORTH LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89030

Officiant Phone 1
(702) 670-8599

Officiant Email Address
PHILLIPDWASHINGTON@YAHOO.COM

Approved Date
5/11/2022

Certificate Expiration Date
5/11/2027

Renewal Notification Returned Date
1/1/1900

Notes
IN PERSON CLASS 5/11/2022