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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202308182004525

Record Date
8/18/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202308182004525

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
EAGAN, JASON

Date of Birth
2/13/1978

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
6/29/2023

Background Check Req?
False

Officiant Residence Address 1
30 W HAZELTINE AVENUE

Officiant Residence City
KENMORE

Officiant Residence State
NEW YORK

Officiant Residence Zip
14217

Mailing Address same as Residence?
True

Officiant Mailing Address 1
30 W HAZELTINE AVENUE

Officiant Mailing City
KENMORE

Officiant Mailing State
NEW YORK

Officiant Mailing Zip
14217

Officiant Phone 1
(716) 573-9763

Officiant Email Address
EAGAN1978@GMAIL.COM

Ceremony Date
9/23/2023

Party 1 Name
HEWETT, MERISSA

Party 2 Name
ALLEN, LELAN

Approved Date
8/18/2023

Certificate Expiration Date
9/24/2023