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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109252005769

Record Date
9/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109252005769

Number of Pages
12

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
STALEY, JACOB MICHAEL

Type
Long Term

Processed By
GARCIAB

Status
Approved

Background Check Req?
True

Background Check Cleared Date
8/15/2021

Officiant Residence Address 1
75 N VALLE VERDE DRIVE

Officiant Residence City
HENDERSON

Officiant Residence State
NEVADA

Officiant Residence Zip
89074

Officiant Mailing Address 1
75 N VALLE VERDE DRIVE

Officiant Mailing City
HENDERSON

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89074

Officiant Phone 1
(702) 755-9770

Officiant Email Address
JAKE.STALEY.BOX@GMAIL.COM

Officiant Licensure Date
9/29/2021

Approved Date
9/30/2026

Certificate Expiration Date
9/30/2031

Renewal Notification Returned Date
8/9/2026

Notes
IN PERSON CLASS 9/29/21; RENEWAL 09/13/2026