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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109242005743

Record Date
9/24/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109242005743

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SMITH, GRACE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/19/2021

Background Check Req?
False

Officiant Residence Address 1
3202 NORFOLK STREET APT #13106

Officiant Residence City
HOUSTON

Officiant Residence State
TEXAS

Officiant Residence Zip
77098

Officiant Mailing Address 1
3202 NORFOLK STREET APT #13106

Officiant Mailing City
HOUSTON

Officiant Mailing State
TEXAS

Officiant Mailing Zip
77098

Officiant Phone 1
(269) 487-6433

Officiant Email Address
GRACIE.WILHEMINA@GMAIL.COM

Ceremony Date
10/14/2021

Party 1 Name
SMITH, MAXTON

Party 2 Name
MOHRBACH, DANIELLE

Approved Date
9/24/2021

Certificate Expiration Date
10/15/2021