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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202210192006042

Record Date
10/19/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202210192006042

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
WAGNER, JOSEPH J

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/11/2022

Background Check Req?
False

Officiant Residence Address 1
1920 LYDIA LANE

Officiant Residence City
SAINT HELENA

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
94574

Mailing Address same as Residence?
True

Officiant Mailing Address 1
1920 LYDIA LANE

Officiant Mailing City
SAINT HELENA

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
94574

Officiant Phone 1
(707) 738-7816

Officiant Email Address
JOSEPH@COPPERCANE.COM

Ceremony Date
10/31/2022

Party 1 Name
MINOR, NATHAN

Party 2 Name
SIMPSON, CAITLIN

Approved Date
10/19/2022

Certificate Expiration Date
11/1/2022

Notes
10/19/2022 SELF ADDRESSED STAMPED ENVELOPE ENCLOSED FOR RETURN MAIL-BGG