Document Details





Instrument Number
202308092004334

Record Date
8/9/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202308092004334

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
GREENFIELD, PATRICIA E.

Date of Birth
3/17/1977

Type
Single

Processed By
JOSEPHST

Status
Approved

Online Test Passed
6/26/2023

Background Check Req?
False

Officiant Residence Address 1
975 EL CAMINO WAY

Officiant Residence City
BOULDER CITY

Officiant Residence State
NEVADA

Officiant Residence Zip
89005

Mailing Address same as Residence?
True

Officiant Mailing Address 1
975 EL CAMINO WAY

Officiant Mailing City
BOULDER CITY

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89005

Officiant Phone 1
(702) 265-4118

Officiant Email Address
PATTIROCKS17@HOTMAIL.COM

Officiant Licensure Date
8/9/2023

Ceremony Date
9/23/2023

Party 1 Name
SMITH-CLEMENTS, DEVIN B

Party 2 Name
SCIARRILLO, ANDREW A

Approved Date
8/9/2023

Certificate Expiration Date
9/24/2023