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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202211222006614

Record Date
11/22/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202211222006614

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
JORGENSEN, KATHY L

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
10/12/2022

Background Check Req?
False

Officiant Residence Address 1
1816 DAUPHIN STREET

Officiant Residence City
MOBILE

Officiant Residence State
ALABAMA

Officiant Residence Zip
36606

Mailing Address same as Residence?
False

Officiant Mailing Address 1
1507 DAUPHIN STREET

Officiant Mailing City
MOBILE

Officiant Mailing State
ALABAMA

Officiant Mailing Zip
36604

Officiant Phone 1
(251) 599-3850

Officiant Email Address
KATHY.JORGENSEN@DAUPHINWAYUMC.ORG

Ceremony Date
12/11/2022

Party 1 Name
GREMSE, CHRISTOPHER

Party 2 Name
BARTOLOME, MARY ANTONETTE

Approved Date
11/22/2022

Certificate Expiration Date
12/12/2022