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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202101122000181

Record Date
1/12/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202101122000181

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BURNETT, GREGORY

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
1/2/2021

Background Check Req?
False

Officiant Residence Address 1
9423 N 17TH WAY

Officiant Residence City
PHOENIX

Officiant Residence State
ARIZONA

Officiant Residence Zip
85020

Officiant Mailing Address 1
9423 N 17TH WAY

Officiant Mailing City
PHOENIX

Officiant Mailing State
ARIZONA

Officiant Mailing Zip
85020

Officiant Phone 1
(678) 836-7647

Officiant Email Address
GREGBURNETT480@GMAIL.COM

Ceremony Date
2/14/2021

Party 1 Name
BURNETT, LILLI M

Party 2 Name
GUTIERREZ, BRENDEN A

Approved Date
1/12/2021

Certificate Expiration Date
2/15/2021