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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202308182004531

Record Date
8/18/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202308182004531

Number of Pages
5

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
CARLSON, ROBIN

Date of Birth
5/22/1957

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
7/8/2023

Background Check Req?
False

Officiant Residence Address 1
2392 AUSTIN AVE

Officiant Residence City
CLOVIS

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
93611

Mailing Address same as Residence?
True

Officiant Mailing Address 1
2392 AUSTIN AVE

Officiant Mailing City
CLOVIS

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
93611

Officiant Phone 1
(559) 960-2452

Officiant Email Address
EARTHYSPIRIT57@GMAIL.COM

Ceremony Date
10/14/2023

Party 1 Name
VALADEZ, SIMON

Party 2 Name
GARCIA, AMBER

Approved Date
8/18/2023

Certificate Expiration Date
10/15/2023