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Lynn Marie Goya
CLARK COUNTY CLERK
Document Details
Instrument Number
202108172004865
Record Date
8/17/2021
Book Type
NOT - NOTARIES
Book/Page
Instrument #
202108172004865
Number of Pages
4
Doc Type
OFF - MINISTER/OFFICIANT
Officiant Name
ROBERTS, GREGORY ALAN
Type
Single
Processed By
GARCIAB
Status
Approved
Online Test Passed
7/28/2021
Background Check Req?
False
Officiant Residence Address 1
1652 WEST MAIN AVENUE
Officiant Residence City
DEPERE
Officiant Residence State
WISCONSIN
Officiant Residence Zip
54115
Officiant Mailing Address 1
P.O. BOX 28341
Officiant Mailing City
GREEN BAY
Officiant Mailing State
WISCONSIN
Officiant Mailing Zip
54324
Officiant Phone 1
(920) 676-0722
Officiant Email Address
BIKERNUT247@YAHOO.COM
Ceremony Date
10/9/2021
Party 1 Name
POPELKA, DIANE K
Party 2 Name
SOUKUP, JAMES T
Approved Date
8/17/2021
Certificate Expiration Date
10/10/2021