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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202309192005211

Record Date
9/19/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202309192005211

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HEATON, KELLY

Date of Birth
10/10/1966

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
7/31/2023

Background Check Req?
False

Officiant Residence Address 1
163 GLENCAIRN DR

Officiant Residence City
HOT SPRINGS

Officiant Residence State
ARKANSAS

Officiant Residence Zip
71913

Mailing Address same as Residence?
True

Officiant Mailing Address 1
163 GLENCAIRN DR

Officiant Mailing City
HOT SPRINGS

Officiant Mailing State
ARKANSAS

Officiant Mailing Zip
71913

Officiant Phone 1
(501) 318-7741

Officiant Email Address
KCHEATON@GMAIL.COM

Ceremony Date
11/13/2023

Party 1 Name
HEATON, COLIN

Party 2 Name
HARRIS, TARA

Approved Date
9/19/2023

Certificate Expiration Date
11/14/2023