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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109012005196

Record Date
9/1/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109012005196

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SOUTHWELL, LISA MARIE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/24/2021

Background Check Req?
False

Officiant Residence Address 1
2054 DONCASTER COURT

Officiant Residence City
PLUMAS LAKE

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
95961

Officiant Mailing Address 1
2054 DONCASTER COURT

Officiant Mailing City
PLUMAS LAKE

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
95961

Officiant Phone 1
(619) 987-0498

Officiant Email Address
LISA_SOUTHWELL@OUTLOOK.COM

Ceremony Date
10/2/2021

Party 1 Name
TRIPLETT, ERIN YVONNE

Party 2 Name
OSBORN, JOSHUA JAY

Approved Date
9/1/2021

Certificate Expiration Date
10/3/2021