County Logo
Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
201906292003244

Record Date
6/29/2019

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201906292003244

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SLOCKI, DANIELLE

Type
Single

Processed By
LEACHT

Status
EXPIRED

Online Test Passed
6/14/2019

Background Check Req?
False

Officiant Residence Address 1
104 CENTRAL AVE APT 2R

Officiant Residence City
BROOKLYN

Officiant Residence State
NEW YORK

Officiant Residence Zip
11206

Officiant Mailing Address 1
104 CENTRAL AVE APT 2R

Officiant Mailing City
BROOKLYN

Officiant Mailing State
NEW YORK

Officiant Mailing Zip
11206

Officiant Phone 1
(631) 942-2338

Officiant Email Address
DANIELLEJSLOCKI@GMAIL.COM

Ceremony Date
7/4/2019

Party 1 Name
MCCOY, DANA L

Party 2 Name
DAVIS, MICHAEL R

Approved Date
6/29/2019

Certificate Expiration Date
7/5/2019