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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109302005885

Record Date
9/30/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109302005885

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
LEWIS, STANLEY EUGENE

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/30/2021

Background Check Req?
False

Officiant Residence Address 1
147 CAMELLIA DRIVE

Officiant Residence City
LEBANON

Officiant Residence State
OREGON

Officiant Residence Zip
97355

Officiant Mailing Address 1
147 CAMELLIA DRIVE

Officiant Mailing City
LEBANON

Officiant Mailing State
OREGON

Officiant Mailing Zip
97355

Officiant Phone 1
(541) 740-2791

Officiant Email Address
HILBILLYFOODPORN@GMAIL.COM

Ceremony Date
10/2/2021

Party 1 Name
THOMAS, SCOTT K

Party 2 Name
ALLEN, KIMBERLY K

Approved Date
9/30/2021

Certificate Expiration Date
10/3/2021