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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109012005187

Record Date
9/1/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109012005187

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
WASHBURN, JACE MICHAEL

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/29/2021

Background Check Req?
False

Officiant Residence Address 1
24055 DONEY LANE

Officiant Residence City
ARLEE

Officiant Residence State
MONTANA

Officiant Residence Zip
59821

Officiant Mailing Address 1
24055 DONEY LANE

Officiant Mailing City
ARLEE

Officiant Mailing State
MONTANA

Officiant Mailing Zip
24055

Officiant Phone 1
(507) 251-2128

Officiant Email Address
WASHBURJ@GMAIL.COM

Ceremony Date
9/22/2021

Party 1 Name
DOLLARD, LEIGH

Party 2 Name
ROBERTSON, AMY

Approved Date
9/1/2021

Certificate Expiration Date
9/23/2021