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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202202082000718

Record Date
2/8/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202202082000718

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SMITH, DANIEL B

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
1/10/2022

Background Check Req?
False

Officiant Residence Address 1
2316 SUMMIT DRIVE

Officiant Residence City
COLORADO SPRINGS

Officiant Residence State
COLORADO

Officiant Residence Zip
80909

Mailing Address same as Residence?
True

Officiant Mailing Address 1
2316 SUMMIT DRIVE

Officiant Mailing City
COLORADO SPRINGS

Officiant Mailing State
COLORADO

Officiant Mailing Zip
80909

Officiant Phone 1
(719) 337-9253

Officiant Email Address
D.SMITH@ASCENSIONCOS.ORG

Ceremony Date
3/13/2022

Party 1 Name
PASSON, SHANE

Party 2 Name
VOLMER, STEFFANY

Approved Date
2/8/2022

Certificate Expiration Date
3/14/2022