Document Details





Instrument Number
202108172004864

Record Date
8/17/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108172004864

Number of Pages
2

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
PENA-VALLE, MARIA TADEA

Type
Long Term

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/10/2021

Background Check Req?
True

Background Check Cleared Date
7/28/2021

Officiant Residence Address 1
3916 COSTA MESA AVENUE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89110

Officiant Mailing Address 1
3916 COSTA MESA AVENUE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89110

Officiant Phone 1
(702) 204-5336

Officiant Email Address
MERCADO.UNLV@GMAIL.COM

Approved Date
8/17/2021

Certificate Expiration Date
8/17/2026

Notes
APPLICANT RENEWAL