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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202101182000308

Record Date
1/18/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202101182000308

Number of Pages
5

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HINES, JARVIS

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
1/18/2021

Background Check Req?
False

Officiant Residence Address 1
16521 ALBANY WAY

Officiant Residence City
FONTANA

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
92336

Officiant Mailing Address 1
16521 ALBANY WAY

Officiant Mailing City
FONTANA

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
92336

Officiant Phone 1
(909) 485-0673

Officiant Email Address
BISHOPJARVISHINES@ATT.NET

Ceremony Date
3/14/2021

Party 1 Name
LITTLES, DEMOND

Party 2 Name
GREEN, SALISA

Approved Date
1/18/2021

Certificate Expiration Date
3/15/2021