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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109012005198

Record Date
9/1/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109012005198

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
MILLER, CODY TIGHE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/19/2021

Background Check Req?
False

Officiant Residence Address 1
3220 N MADISON STREET

Officiant Residence City
DENVER

Officiant Residence State
COLORADO

Officiant Residence Zip
80205

Officiant Mailing Address 1
3220 N MADISON STREET

Officiant Mailing City
DENVER

Officiant Mailing State
COLORADO

Officiant Mailing Zip
80205

Officiant Phone 1
(570) 713-4629

Officiant Email Address
CTMILLER88@GMAIL.COM

Ceremony Date
10/22/2021

Party 1 Name
CROUTHAMEL, BRADLEY SCOTT

Party 2 Name
MAREB, LISA MARGARET

Approved Date
9/1/2021

Certificate Expiration Date
10/23/2021