County Logo
Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
201910312005300

Record Date
10/31/2019

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201910312005300

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
WAGNER, JERROD RAY

Type
Single

Processed By
COOKP

Status
EXPIRED

Online Test Passed
10/28/2019

Background Check Req?
False

Officiant Residence Address 1
1051 SITE DR #256

Officiant Residence City
BREA

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
92821

Officiant Mailing Address 1
1051 SITE DR #256

Officiant Mailing City
BREA

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
92821

Officiant Phone 1
(714) 742-8821

Officiant Email Address
JERROD@ALIVEBREA.COM

Officiant Licensure Date
10/31/2019

Ceremony Date
11/9/2019

Party 1 Name
WILLIAMS, TIMOTHY

Party 2 Name
SMITH, SARAH R

Approved Date
10/31/2019

Certificate Expiration Date
11/10/2019