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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202108252005045

Record Date
8/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108252005045

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
CHRISTENSEN, DAN STEPHEN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/16/2021

Background Check Req?
False

Officiant Residence Address 1
1510 BRIDLE DRIVE

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89002

Officiant Mailing Address 1
1510 BRIDDLE DRIVE

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89002

Officiant Phone 1
(702) 591-9955

Officiant Email Address
BEVERAGEONE@AOL.COM

Ceremony Date
10/15/2021

Party 1 Name
KEPHART, CODY

Party 2 Name
DAVIS, ELLY

Approved Date
8/25/2021

Certificate Expiration Date
10/15/2021