County Logo
Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202204122002197

Record Date
4/12/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202204122002197

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BASS, STACEY

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
4/11/2022

Background Check Req?
False

Officiant Residence Address 1
416 MACEY AVENUE

Officiant Residence City
HARRISBURG

Officiant Residence State
SOUTH DAKOTA

Officiant Residence Zip
57032

Mailing Address same as Residence?
True

Officiant Mailing Address 1
416 MACEY AVENUE

Officiant Mailing City
HARRISBURG

Officiant Mailing State
SOUTH DAKOTA

Officiant Mailing Zip
57032

Officiant Phone 1
(605) 728-3564

Officiant Email Address
S.SBASS04@GMAIL.COM

Ceremony Date
5/20/2022

Party 1 Name
BASS, DALLAS

Party 2 Name
WHIPPLE, MONTGOMERY

Approved Date
4/12/2022

Certificate Expiration Date
5/21/2022

Renewal Notification Returned Date
1/1/1900