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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202010022004217

Record Date
10/2/2020

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202010022004217

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
JUREK, BENJAMIN EDWARD

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
9/23/2020

Background Check Req?
False

Officiant Residence Address 1
9757 FOX ESTATE STREET

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89141

Officiant Mailing Address 1
9757 FOX ESTATE STREET

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89141

Officiant Phone 1
(702) 412-4468

Officiant Email Address
BEN.E.JUREK@GMAIL.COM

Ceremony Date
10/31/2020

Party 1 Name
GRIJALVA, XANDER SAMUEL

Party 2 Name
BRENGLE, FORREST CAMERON

Approved Date
10/2/2020

Certificate Expiration Date
10/31/2020