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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109302005904

Record Date
9/30/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109302005904

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HOSKINS, SHAUNIE EMINGER

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/20/2021

Background Check Req?
False

Officiant Residence Address 1
8827 CRYSTAL PORT AVENUE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89147

Officiant Mailing Address 1
8827 CRYSTAL PORT AVENUE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89147

Officiant Phone 1
(702) 724-6249

Officiant Email Address
SHAUNIE.HOSKINS@GMAIL.COM

Ceremony Date
11/10/2021

Party 1 Name
THOMAS, MYKAEL DARICE

Party 2 Name
JACKSON, JEFFREY STEVEN

Approved Date
9/30/2021

Certificate Expiration Date
11/11/2021