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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
201808242044383

Record Date
8/24/2018

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201808242044383

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
DISRUD, THOMAS

Type
Religious Official - Single Ceremony

Processed By
DOZALB

Status
EXPIRED

Background Check Req?
False

Officiant Residence Address 1
3247 NE GLISAN ST

Officiant Residence City
PORTLAND

Officiant Residence State
OREGON

Officiant Residence Zip
97232

Officiant Mailing Address 1
3247 NE GLISAN ST

Officiant Mailing City
PORTLAND

Officiant Mailing State
OREGON

Officiant Mailing Zip
97232

Officiant Phone 1
(503) 593-3580

Officiant Email Address
TDISRUD@COMCAST.NET

Officiant Licensure Date
8/15/1995

Ceremony Date
9/14/2018

Party 1 Name
WOODSTOCK, AMY

Party 2 Name
MADSEN, THOMAS

Approved Date
8/24/2018

Certificate Expiration Date
9/15/2018