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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202103312001880

Record Date
3/31/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202103312001880

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
RODRIGUEZ, JULIA

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
3/19/2021

Background Check Req?
False

Officiant Residence Address 1
1000 SOUTH COAST DR #L103

Officiant Residence City
COSTA MESA

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
92626

Officiant Mailing Address 1
1000 S COAST DR #L103

Officiant Mailing City
COASTA MESA

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
92626

Officiant Phone 1
(909) 477-0075

Officiant Email Address
JULIARODRIGUEZ1212@GMAIL.COM

Ceremony Date
4/17/2021

Party 1 Name
RODRIGUEZ, HENRY

Party 2 Name
ROSS, LILIAN

Approved Date
3/31/2021

Certificate Expiration Date
4/18/2021