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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202205102002804

Record Date
5/10/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202205102002804

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BROSAL, RICHARD L

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
5/4/2022

Background Check Req?
False

Officiant Residence Address 1
454 POINT SUR AVENUE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89138

Mailing Address same as Residence?
True

Officiant Mailing Address 1
454 POINT SUR AVENUE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89138

Officiant Phone 1
(636) 795-9545

Officiant Email Address
RBROSAL@BROSAL.COM

Ceremony Date
6/5/2022

Party 1 Name
VIALTSIN, ANTON

Party 2 Name
BASSING, ELIZABETH

Approved Date
5/10/2022

Certificate Expiration Date
6/6/2022

Renewal Notification Returned Date
1/1/1900