Document Details





Instrument Number
202107272004366

Record Date
7/27/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202107272004366

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
GARCIA, ROMMEL DIAZ

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
7/13/2021

Background Check Req?
False

Officiant Residence Address 1
2861 RAINBOW RIVER

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89142

Officiant Mailing Address 1
2861 RAINBOW RIVER

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89142

Officiant Phone 1
(702) 335-0047

Officiant Email Address
LEMMOR68@HOTMAIL.COM

Ceremony Date
8/27/2021

Party 1 Name
POTILLOS, KAREY T

Party 2 Name
WILLIAMS, ANGELA H

Approved Date
7/27/2021

Certificate Expiration Date
8/28/2021