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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202302242001044

Record Date
2/24/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202302242001044

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
CASEY, THERESA MARIE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
2/9/2023

Background Check Req?
False

Officiant Residence Address 1
428 N ALAMEDA AVENUE

Officiant Residence City
AZUSA

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
91702

Mailing Address same as Residence?
True

Officiant Mailing Address 1
428 N ALAMEDA AVENUE

Officiant Mailing City
AZUSA

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
91702

Officiant Phone 1
(626) 201-6251

Officiant Email Address
PNKNPY@VERIZON.NET

Ceremony Date
3/11/2023

Party 1 Name
GUIDO, DARYL

Party 2 Name
CASEY, SHANNON

Approved Date
2/24/2023

Certificate Expiration Date
3/12/2023

Notes
2/14/23 PG 4 NOT INCLUDED WITH APP; EMAILED APPLICANT WITH BLANK PAGE 4 & INSTRUCTIONS; PG 4 RECEIVED 2/22/2023 FOR PROCESSING-BGG