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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202108252005040

Record Date
8/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202108252005040

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BAGLEY, JEFFERSON ELI

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
7/31/2021

Background Check Req?
False

Officiant Residence Address 1
975 AMERICAN PACIFIC DRIVE #104

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89014

Officiant Mailing Address 1
109 ARUBA ISLE DRIVE

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89002

Officiant Phone 1
(702) 338-3021

Officiant Email Address
BAGLEYJEFF@YAHOO.COM

Ceremony Date
10/23/2021

Party 1 Name
BEEMAN, NIKKI

Party 2 Name
KETTEN, KODY

Approved Date
8/25/2021

Certificate Expiration Date
10/24/2021