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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109302005890

Record Date
9/30/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109302005890

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
CAO, MIKE DAC

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/21/2021

Background Check Req?
False

Officiant Residence Address 1
9747 CADENCE CREEK COURT

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89141

Officiant Mailing Address 1
9747 CADENCE CREEK COURT

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89141

Officiant Phone 1
(562) 645-3226

Officiant Email Address
MIKEDCAO@GMAIL.COM

Ceremony Date
11/5/2021

Party 1 Name
STURTEVANT, BRITTANY JOY

Party 2 Name
ADKINS, MICHAEL THOMAS

Approved Date
9/30/2021

Certificate Expiration Date
11/5/2021