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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202105222003024

Record Date
5/22/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202105222003024

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
KLC, THOMAS J

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
4/29/2021

Background Check Req?
False

Officiant Residence Address 1
16212 GREAT BLUE HERON CT

Officiant Residence City
WINTER GARDEN

Officiant Residence State
FLORIDA

Officiant Residence Zip
34787

Officiant Mailing Address 1
16212 GREAT BLUE HERON CT

Officiant Mailing City
WINTER GARDEN

Officiant Mailing State
FLORIDA

Officiant Mailing Zip
34787

Officiant Phone 1
(801) 870-0592

Officiant Email Address
THOMASJKLC@GMAIL.COM

Ceremony Date
7/23/2021

Party 1 Name
MARTIN, DALLIN E

Party 2 Name
PEDERSEN, LYDIA

Approved Date
5/22/2021

Certificate Expiration Date
7/24/2021