Document Details





Instrument Number
202108172004865

Record Date
8/17/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108172004865

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
ROBERTS, GREGORY ALAN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
7/28/2021

Background Check Req?
False

Officiant Residence Address 1
1652 WEST MAIN AVENUE

Officiant Residence City
DEPERE

Officiant Residence State
WISCONSIN

Officiant Residence Zip
54115

Officiant Mailing Address 1
P.O. BOX 28341

Officiant Mailing City
GREEN BAY

Officiant Mailing State
WISCONSIN

Officiant Mailing Zip
54324

Officiant Phone 1
(920) 676-0722

Officiant Email Address
BIKERNUT247@YAHOO.COM

Ceremony Date
10/9/2021

Party 1 Name
POPELKA, DIANE K

Party 2 Name
SOUKUP, JAMES T

Approved Date
8/17/2021

Certificate Expiration Date
10/10/2021