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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202309202005242

Record Date
9/20/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202309202005242

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
GRAVES HARRIS, KERRY K

Date of Birth
7/30/1985

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
9/11/2023

Background Check Req?
False

Officiant Residence Address 1
637 SURREY WAY S

Officiant Residence City
ST PETERSBURG

Officiant Residence State
FLORIDA

Officiant Residence Zip
33705

Mailing Address same as Residence?
True

Officiant Mailing Address 1
637 SURREY WAY S

Officiant Mailing City
ST PETERSBURG

Officiant Mailing State
FLORIDA

Officiant Mailing Zip
33705

Officiant Phone 1
(843) 685-3142

Officiant Email Address
KREKO93@GMAIL.COM

Ceremony Date
10/14/2023

Party 1 Name
FERNANDEZ, JOSE

Party 2 Name
ARNOLD, FALLON

Approved Date
9/20/2023

Certificate Expiration Date
10/15/2023