Document Details





Instrument Number
202208052004471

Record Date
8/5/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202208052004471

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
PROKUP, JOHN ADAMS

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/5/2022

Background Check Req?
False

Officiant Residence Address 1
8944 DULCIMER LANE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89123

Mailing Address same as Residence?
True

Officiant Mailing Address 1
8944 DULCIMER LANE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89123

Officiant Phone 1
(310) 717-5718

Officiant Email Address
JPROKUP@GMAIL.COM

Ceremony Date
9/9/2022

Party 1 Name
SCHILL, THERESA

Party 2 Name
GRIFFIN, MATTHEW

Approved Date
8/5/2022

Certificate Expiration Date
9/10/2022