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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202201212000342

Record Date
1/21/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202201212000342

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
ROLON, MILES MATTHEW

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
1/20/2022

Background Check Req?
False

Officiant Residence Address 1
576 CEDAR CREST AVENUE

Officiant Residence City
CLAREMONT

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
91711

Mailing Address same as Residence?
True

Officiant Mailing Address 1
576 CEDAR CREST AVENUE

Officiant Mailing City
CLAREMONT

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
91711

Officiant Phone 1
(909) 736-5950

Officiant Email Address
MILESROLON@YAHOO.COM

Ceremony Date
2/12/2022

Party 1 Name
MARTINEZ ACOSTA, SHEENA PAULIN

Party 2 Name
TUER, ADAM

Approved Date
1/21/2022

Certificate Expiration Date
2/13/2022