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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202211222006616

Record Date
11/22/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202211222006616

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
KOLBERT, SUSAN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
11/5/2022

Background Check Req?
False

Officiant Residence Address 1
10268 HEADRICK DRIVE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89166

Mailing Address same as Residence?
True

Officiant Mailing Address 1
10268 HEADRICK DRIVE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89166

Officiant Phone 1
(702) 338-9072

Officiant Email Address
SUSIE1628@AOL.COM

Ceremony Date
12/25/2022

Party 1 Name
KOLBERT, STEPHANIE

Party 2 Name
RAMIREZ, JESSIE

Approved Date
11/22/2022

Certificate Expiration Date
12/26/2022