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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
201903122001098

Record Date
3/12/2019

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201903122001098

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SMITH, GARRETT MATTHEW

Type
Single

Processed By
DOZALB

Status
EXPIRED

Online Test Passed
3/4/2019

Background Check Req?
False

Officiant Residence Address 1
8242 BELLEVIEW AVE

Officiant Residence City
KANSAS CITY

Officiant Residence State
MISSOURI

Officiant Residence Zip
64114

Officiant Mailing Address 1
8242 BELLEVIEW AVE

Officiant Mailing City
KANSAS CITY

Officiant Mailing State
MISSOURI

Officiant Mailing Zip
64114

Officiant Phone 1
(913) 633-9606

Officiant Email Address
GANDKSMITHZ@GMAIL.COM

Ceremony Date
4/13/2019

Party 1 Name
ADAM, DANIELLE M

Party 2 Name
CROSS, ANDREW GARRETT

Approved Date
3/12/2019

Certificate Expiration Date
4/14/2019