Document Details





Instrument Number
202201212000328

Record Date
1/21/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202201212000328

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
POELING, HAROLD

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
1/20/2022

Background Check Req?
False

Officiant Residence Address 1
795 NE WASHINGTON AVENUE

Officiant Residence City
IRRIGON

Officiant Residence State
OREGON

Officiant Residence Zip
97844

Mailing Address same as Residence?
True

Officiant Mailing Address 1
795 NE WASHINGTON AVENUE

Officiant Mailing City
IRRIGON

Officiant Mailing State
OREGON

Officiant Mailing Zip
97844

Officiant Phone 1
(541) 571-9293

Officiant Email Address
HPOELING@GMAIL.COM

Ceremony Date
1/22/2022

Party 1 Name
BALOS, DANIEL

Party 2 Name
CARINO, JEREMIAH

Approved Date
1/21/2022

Certificate Expiration Date
1/23/2022