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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
201909052004395

Record Date
9/5/2019

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201909052004395

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BRASGALLA, TIMOTHY A

Type
Single

Processed By
ETAG

Status
EXPIRED

Online Test Passed
8/14/2019

Background Check Req?
False

Officiant Residence Address 1
4034 39TH ST S

Officiant Residence City
MOORHEAD

Officiant Residence State
MINNESOTA

Officiant Residence Zip
56560

Officiant Mailing Address 1
4034 39TH ST S

Officiant Mailing City
MOOREHEAD

Officiant Mailing State
MINNESOTA

Officiant Mailing Zip
56560

Officiant Phone 1
(701) 306-3905

Officiant Email Address
TBRASGALLA@GMAIL.COM

Ceremony Date
10/5/2019

Party 1 Name
ERNST, CODY

Party 2 Name
SCORE, SARA

Approved Date
9/5/2019

Certificate Expiration Date
10/6/2019