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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202309202005243

Record Date
9/20/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202309202005243

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
LEWIS, GRANT E.

Date of Birth
8/18/1999

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
8/30/2023

Background Check Req?
False

Officiant Residence Address 1
608 RUNBRIDGE ST

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89144

Mailing Address same as Residence?
True

Officiant Mailing Address 1
608 RUNBRIDGE ST

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89144

Officiant Phone 1
(702) 872-2198

Officiant Email Address
LEWISGRANT2112@GMAIL.COM

Ceremony Date
10/14/2023

Party 1 Name
RUSSO, DANIELLE

Party 2 Name
LEWIS, ERIC

Approved Date
9/20/2023

Certificate Expiration Date
10/15/2023