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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202203232001733

Record Date
3/23/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202203232001733

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
GILLIAM, SUSIE TOLIN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
2/17/2022

Background Check Req?
False

Officiant Residence Address 1
110 CHICAGO

Officiant Residence City
DETROIT

Officiant Residence State
MICHIGAN

Officiant Residence Zip
48202

Mailing Address same as Residence?
True

Officiant Mailing Address 1
110 CHICAGO

Officiant Mailing City
DETROIT

Officiant Mailing State
MICHIGAN

Officiant Mailing Zip
48202

Officiant Phone 1
(313) 868-8030

Officiant Email Address
GILLIAMTUTU@COMCAST.NET

Ceremony Date
5/7/2022

Party 1 Name
ELLIS, DARLENE ETHEL

Party 2 Name
JACKSON, ANDREW

Approved Date
3/23/2022

Certificate Expiration Date
5/8/2022