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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202108052004622

Record Date
8/5/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108052004622

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
ANDERSON, BETH RENEE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
5/28/2021

Background Check Req?
False

Officiant Residence Address 1
6 ASPEN LN-WOLF CR

Officiant Residence City
WINTHROP

Officiant Residence State
WASHINGTON

Officiant Residence Zip
98862

Officiant Mailing Address 1
P.O. BOX 1381

Officiant Mailing City
WINTHROP

Officiant Mailing State
WASHINGTON

Officiant Mailing Zip
98862

Officiant Phone 1
(206) 729-1316

Officiant Email Address
ANDERSONBETHR@GMAIL.COM

Ceremony Date
9/4/2021

Party 1 Name
ANDERSON, CHRISTOPHER D

Party 2 Name
BLACK, EVA M

Approved Date
8/5/2021

Certificate Expiration Date
9/4/2021