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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202308182004532

Record Date
8/18/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202308182004532

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HARLESON, AMY E

Date of Birth
11/18/1992

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
8/3/2023

Background Check Req?
False

Officiant Residence Address 1
5219 CAMERON CREEK CIRCLE APT 146

Officiant Residence City
FORT WORTH

Officiant Residence State
TEXAS

Officiant Residence Zip
76132

Mailing Address same as Residence?
True

Officiant Mailing Address 1
5219 CAMERON CREEK CIRCLE APT 146

Officiant Mailing City
FORT WORTH

Officiant Mailing State
TEXAS

Officiant Mailing Zip
76132

Officiant Phone 1
(806) 252-9918

Officiant Email Address
AEHARLESON@HOTMAIL.COM

Ceremony Date
10/13/2023

Party 1 Name
KIBODEAUX, HANNAH E

Party 2 Name
SIMPSON, JESSICA D

Approved Date
8/18/2023

Certificate Expiration Date
10/14/2023