County Logo
Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202101112000145

Record Date
1/11/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202101112000145

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HOLLOWAY, SAMUEL L

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
12/28/2020

Background Check Req?
False

Officiant Residence Address 1
290 APPALACHIAN LN

Officiant Residence City
INDIAN SPRINGS

Officiant Residence State
NEVADA

Officiant Residence Zip
89018

Officiant Mailing Address 1
PO BOX 100

Officiant Mailing City
INDIAN SPRINGS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89018

Officiant Phone 1
(573) 915-2370

Officiant Email Address
SLHOLLOWAY94@GMAIL.COM

Ceremony Date
2/27/2021

Party 1 Name
KELLEY, TAYLOR JO

Party 2 Name
MANFORD, AARON MICHAEL

Approved Date
1/11/2021

Certificate Expiration Date
2/28/2021