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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202202082000715

Record Date
2/8/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202202082000715

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
TAYLOR, DEBRA A

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
1/11/2022

Background Check Req?
False

Officiant Residence Address 1
2116 W ALASKA AVENUE

Officiant Residence City
FLAGSTAFF

Officiant Residence State
ARIZONA

Officiant Residence Zip
86001

Mailing Address same as Residence?
True

Officiant Mailing Address 1
2116 W ALASKA AVENUE

Officiant Mailing City
FLAGSTAFF

Officiant Mailing State
ARIZONA

Officiant Mailing Zip
86001

Officiant Phone 1
(928) 699-7521

Officiant Email Address
DEBRA.TAYLOR724@GMAIL.COM

Ceremony Date
3/16/2022

Party 1 Name
FREDERICKS, TIFFANI

Party 2 Name
MCMAHON, DANIEL

Approved Date
2/8/2022

Certificate Expiration Date
3/17/2022