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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109232005724

Record Date
9/23/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109232005724

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
RODRIGUEZ, DIEGO SERGIO

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/29/2021

Background Check Req?
False

Officiant Residence Address 1
5235 GOLDEN LANE APT A

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89119

Officiant Mailing Address 1
5235 GOLDEN LANE APT A

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89119

Officiant Phone 1
(916) 519-0329

Officiant Email Address
DROD508@YAHOO.COM

Ceremony Date
10/23/2021

Party 1 Name
BROOKS, LATONIA MAE

Party 2 Name
WILSON JR, KENNETH WAYNE

Approved Date
9/23/2021

Certificate Expiration Date
10/24/2021