County Logo
Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202107272004387

Record Date
7/27/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202107272004387

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
NULPH, DONALD FRANCIS

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
7/25/2021

Background Check Req?
False

Officiant Residence Address 1
3131 DAFNE AVENUE

Officiant Residence City
KINGMAN

Officiant Residence State
ARIZONA

Officiant Residence Zip
86409

Officiant Mailing Address 1
3131 DAFNEY AVENUE

Officiant Mailing City
KINGMAN

Officiant Mailing State
ARIZONA

Officiant Mailing Zip
86409

Officiant Phone 1
(951) 351-4503

Officiant Email Address
DNULPHS@SBCGLOBAL.NET

Ceremony Date
10/11/2021

Party 1 Name
LOGAN, SHELLY L

Party 2 Name
LACY, JEREMY C

Approved Date
7/27/2021

Certificate Expiration Date
10/12/2021