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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
201801022039803

Record Date
1/2/2018

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201801022039803

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BULLOCK, DENISE

Type
Religious Official - Single Ceremony

Processed By
DOZALB

Status
EXPIRED

Background Check Req?
False

Officiant Residence Address 1
832 HIGH ST

Officiant Residence City
BEDFORD

Officiant Residence State
OHIO

Officiant Residence Zip
44146

Officiant Mailing Address 1
832 HIGH ST

Officiant Mailing City
BEDFORD

Officiant Mailing State
OHIO

Officiant Mailing Zip
44146

Officiant Phone 1
(440) 945-6744

Officiant Phone 2
(216) 357-8171

Officiant Email Address
DENISBULLOC@OUTLOOK.COM

Officiant Licensure Date
8/28/2012

Ceremony Date
2/18/2018

Party 1 Name
PENN, DEONTE LONZELL

Party 2 Name
COTA, VANESSA NADINE

Approved Date
1/2/2018

Certificate Expiration Date
2/19/2018

Renewal Notification Returned Date
1/1/1900