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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202108172004842

Record Date
8/17/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108172004842

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
LEWIS, DARRELL WAYNE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/11/2021

Background Check Req?
False

Officiant Residence Address 1
14494 MISTY LANE

Officiant Residence City
KING GEORGE

Officiant Residence State
VIRGINIA

Officiant Residence Zip
22485

Officiant Mailing Address 1
14494 MISTY LANE

Officiant Mailing City
KING GEORGE

Officiant Mailing State
VIRGINIA

Officiant Mailing Zip
22485

Officiant Phone 1
(804) 493-1707

Officiant Email Address
DARRELL@DWICSN.COM

Ceremony Date
9/16/2021

Party 1 Name
PILLSBURY, BRIAN D

Party 2 Name
PULIS, AZIA C

Approved Date
8/17/2021

Certificate Expiration Date
9/17/2021