Document Details





Instrument Number
202301272000509

Record Date
1/27/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202301272000509

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
TAYLOR, MARK HARRISON

Type
Long Term

Processed By
GARCIAB

Status
Approved

Background Check Req?
True

Officiant Residence Address 1
4017 GLIDING GULLS AVE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89084

Mailing Address same as Residence?
True

Officiant Mailing Address 1
4017 GLIDING GULLS AVE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89084

Officiant Phone 1
(562) 357-1605

Officiant Email Address
CROSSOVER@BWCCLASVEGAS.ORG

Approved Date
2/1/2023

Certificate Expiration Date
2/1/2028

Notes
IN PERSON CLASS 2/1/2023; COA UPDATE 9/4/26