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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202309192005202

Record Date
9/19/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202309192005202

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
COOK, JEFFREY S

Date of Birth
9/25/1983

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
9/4/2023

Background Check Req?
False

Officiant Residence Address 1
4759 CALIFA DR

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89122

Mailing Address same as Residence?
True

Officiant Mailing Address 1
4759 CALIFA DR

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89122

Officiant Phone 1
(702) 528-0967

Officiant Email Address
KOCHJEFFREY@YAHOO.COM

Ceremony Date
10/15/2023

Party 1 Name
JONES, DANNY B

Party 2 Name
BUSE, KATHERINE E

Approved Date
9/19/2023

Certificate Expiration Date
10/16/2023