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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202108172004854

Record Date
8/17/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108172004854

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
WOOD, MELANIE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
7/7/2021

Background Check Req?
False

Officiant Residence Address 1
1754 W 130 N

Officiant Residence City
MILTON

Officiant Residence State
KANSAS

Officiant Residence Zip
67106

Officiant Mailing Address 1
1754 W 130 N

Officiant Mailing City
MILTON

Officiant Mailing State
KANSAS

Officiant Mailing Zip
67106

Officiant Phone 1
(620) 259-3614

Officiant Email Address
THE4WFAMILY@GMAIL.COM

Ceremony Date
10/15/2021

Party 1 Name
DUFFEY, TOBY S

Party 2 Name
POWELL, AUSTIN T

Approved Date
8/17/2021

Certificate Expiration Date
10/16/2021