Document Details





Instrument Number
202103302001876

Record Date
3/30/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202103302001876

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
PATOC, GREGORY

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
3/20/2021

Background Check Req?
False

Officiant Residence Address 1
26 COBBS CREEK WAY

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89148

Officiant Mailing Address 1
PO BOX 371832

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89137

Officiant Phone 1
(808) 989-2842

Officiant Email Address
PATOCGREG@GMAIL.COM

Ceremony Date
5/3/2021

Party 1 Name
SALDIVAR, ALBERT

Party 2 Name
MEDLIN, HEAVEN

Approved Date
3/30/2021

Certificate Expiration Date
5/4/2021