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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202308182004527

Record Date
8/18/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202308182004527

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
DVOJACKI, SECUNDINO J

Date of Birth
5/4/1962

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
6/15/2023

Background Check Req?
False

Officiant Residence Address 1
505 139TH STREET

Officiant Residence City
HAMMOND

Officiant Residence State
INDIANA

Officiant Residence Zip
46327

Mailing Address same as Residence?
True

Officiant Mailing Address 1
505 139TH STREET

Officiant Mailing City
HAMMOND

Officiant Mailing State
INDIANA

Officiant Mailing Zip
46327

Officiant Phone 1
(219) 888-0208

Officiant Email Address
DVOJACKI5@YAHOO.COM

Ceremony Date
9/30/2023

Party 1 Name
RYCKMAN, TAYLOR

Party 2 Name
PICKENS, JORDAN

Approved Date
8/18/2023

Certificate Expiration Date
10/1/2023