Document Details





Instrument Number
202108252005018

Record Date
8/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108252005018

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BACA, GREGORY ALLEN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
2/11/2021

Background Check Req?
False

Officiant Residence Address 1
9971 TUCKET POINT

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89178

Officiant Mailing Address 1
9971 TUCKET POINT

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89178

Officiant Phone 1
(702) 756-6859

Officiant Email Address
LVBACA72@GMAIL.COM

Ceremony Date
10/8/2021

Party 1 Name
KILEY, LAUREN

Party 2 Name
FATHE-AAZAM, CONOR

Approved Date
8/25/2021

Certificate Expiration Date
10/9/2021