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Lynn Marie Goya
CLARK COUNTY CLERK
Document Details
Instrument Number
202101132000202
Record Date
1/13/2021
Book Type
NOT - NOTARIES
Book/Page
Instrument #
202101132000202
Number of Pages
2
Doc Type
OFF - MINISTER/OFFICIANT
Officiant Name
ISLAM, MANZARUL
Type
Long Term
Processed By
COOKP
Status
Revoked
Background Check Req?
True
Background Check Cleared Date
12/29/2020
Officiant Residence Address 1
5383 S MARYLAND PKWY
Officiant Residence City
LAS VEGAS
Officiant Residence State
NEVADA
Officiant Residence Zip
89119
Officiant Mailing Address 1
5383 S MARYLAND PKWY
Officiant Mailing City
LAS VEGAS
Officiant Mailing State
NEVADA
Officiant Mailing Zip
89119
Officiant Phone 1
(919) 798-5646
Officiant Email Address
MANZ786@GMAIL.COM
Officiant Licensure Date
1/12/2021
Approved Date
1/12/2021
Certificate Expiration Date
1/12/2026
Revoked Reason
Other - See Notes
Revocation Date
6/15/2022
Notes
ONLINE COURSE COMPLETED 1/12/2021; 6/15/2022 WE CALLED THE OFFICIANT ABOUT A CERTIFICATE AND HE STATED THAT HE HASN'T PERFORMED CEREMONIES SINCE 2021 AND IS LIVING IN NORTH CAROLINA. OFFICIANT STATUS REMOVED.-PC
202101132000202
