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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202105222003028

Record Date
5/22/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202105222003028

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BRILLON, JARED L

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
4/13/2021

Background Check Req?
False

Officiant Residence Address 1
2795 HARKNEY HILL RD

Officiant Residence City
COVENTRY

Officiant Residence State
RHODE ISLAND

Officiant Residence Zip
02816

Officiant Mailing Address 1
2795 HARKNEY HILL RD

Officiant Mailing City
COVENTRY

Officiant Mailing State
RHODE ISLAND

Officiant Mailing Zip
02816

Officiant Phone 1
(617) 721-6917

Officiant Email Address
JBRILLON4@GMAIL.COM

Ceremony Date
6/22/2021

Party 1 Name
PANNONE, WILLIAM

Party 2 Name
MILTON, DEBORAH

Approved Date
5/22/2021

Certificate Expiration Date
6/23/2021