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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202105222003033

Record Date
5/22/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202105222003033

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
PEDERSON, GLENN

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
3/31/2021

Background Check Req?
False

Officiant Residence Address 1
11425 SCRIPPS LAKE DRIVE

Officiant Residence City
SAN DIEGO

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
92131

Officiant Mailing Address 1
11425 SCRIPPS LAKE DRIVE

Officiant Mailing City
SAN DIEGO

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
92131

Officiant Phone 1
(858) 733-3278

Officiant Email Address
MGYSGT.PEDERSON@GMAIL.COM

Ceremony Date
6/24/2021

Party 1 Name
CARRICO, TAYLOR

Party 2 Name
HERZIG, JOSEPH

Approved Date
5/22/2021

Certificate Expiration Date
6/25/2021