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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
201803282041300

Record Date
3/28/2018

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201803282041300

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BROOKSMITH, MATTHEW R

Type
Religious Official - Single Ceremony

Processed By
DOZALB

Status
EXPIRED

Background Check Req?
False

Officiant Residence Address 1
421 PEARL ST

Officiant Residence City
FORT COLLINS

Officiant Residence State
COLORADO

Officiant Residence Zip
80521

Officiant Mailing Address 1
421 PEARL ST

Officiant Mailing City
FORT COLLINS

Officiant Mailing State
COLORADO

Officiant Mailing Zip
80521

Officiant Phone 1
(303) 710-1818

Officiant Email Address
MBROOKSMITH@COMCAST.NET

Officiant Licensure Date
3/16/2014

Ceremony Date
4/7/2018

Party 1 Name
BROOKSMITH, JOSHUA

Party 2 Name
MILATZO, EMILI

Approved Date
3/28/2018

Certificate Expiration Date
4/8/2018

Renewal Notification Returned Date
1/1/1900