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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109302005873

Record Date
9/30/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109302005873

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
JOHNSON, MICHELE DENISE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/20/2021

Background Check Req?
False

Officiant Residence Address 1
8101 FOREST OAK WAY

Officiant Residence City
CITRUS HEIGHTS

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
95610

Officiant Mailing Address 1
8101 FOREST OAK WAY

Officiant Mailing City
CITRUS HEIGHTS

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
95610

Officiant Phone 1
(916) 477-7455

Officiant Email Address
ISNG4JESUS7@GMAIL.COM

Ceremony Date
11/11/2021

Party 1 Name
JOHNSON, CATHY LYNN

Party 2 Name
SANTOS, JUAN

Approved Date
9/30/2021