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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202308092004351

Record Date
8/9/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202308092004351

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
MASSENBURG-SMITH, SHELLEY

Date of Birth
8/3/1988

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
8/3/2023

Background Check Req?
False

Officiant Residence Address 1
4384 BELLWOOD CIR

Officiant Residence City
ATLANTA

Officiant Residence State
GEORGIA

Officiant Residence Zip
30349

Mailing Address same as Residence?
True

Officiant Mailing Address 1
4384 BELLWOOD CIR

Officiant Mailing City
ATLANTA

Officiant Mailing State
GEORGIA

Officiant Mailing Zip
30349

Officiant Phone 1
(757) 947-8140

Officiant Email Address
SHELLEY.SMITH6@ICLOUD.COM

Officiant Licensure Date
8/9/2023

Ceremony Date
8/10/2023

Party 1 Name
HERRERA, ALEXIA LAMAE

Party 2 Name
AVINA, JOSE JUAN

Approved Date
8/9/2023

Certificate Expiration Date
8/11/2023