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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109232005726

Record Date
9/23/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109232005726

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
CALLAHAN, DONNA A

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/11/2021

Background Check Req?
False

Officiant Residence Address 1
65-17 DOUGLASTON PKWY

Officiant Residence City
DOUGLASTON

Officiant Residence State
NEW YORK

Officiant Residence Zip
11362

Officiant Mailing Address 1
65-17 DOUGLASTON PKWY

Officiant Mailing City
DOUGLASTON

Officiant Mailing State
NEW YORK

Officiant Mailing Zip
11362

Officiant Phone 1
(917) 353-7010

Officiant Email Address
DONNA196549@GMAIL.COM

Ceremony Date
10/23/2021

Party 1 Name
KELLER, PAIGE

Party 2 Name
VAVRICEK, ALEC

Approved Date
9/23/2021

Certificate Expiration Date
10/24/2021