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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202108052004605

Record Date
8/5/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108052004605

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HERDT SR., MICHAEL JOHN

Type
Single

Status
Approved

Online Test Passed
7/29/2021

Background Check Req?
False

Officiant Residence Address 1
4445 BAXTER ROAD

Officiant Residence City
COTTAGE GROVE

Officiant Residence State
WISCONSIN

Officiant Residence Zip
53527

Officiant Mailing Address 1
4445 BAXTER ROAD

Officiant Mailing City
COTTAGE GROVE

Officiant Mailing State
WISCONSIN

Officiant Mailing Zip
53527

Officiant Phone 1
(608) 640-9777

Officiant Email Address
HERDT.MICHAEL@GMAIL.COM

Ceremony Date
8/28/2021

Party 1 Name
DEVRIES, AARON J

Party 2 Name
KEMP, PRECIA L

Approved Date
8/5/2021

Certificate Expiration Date
8/29/2021