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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202205102002813

Record Date
5/10/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202205102002813

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HARTENSTEIN, STEVEN JAY

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
5/10/2022

Background Check Req?
False

Officiant Residence Address 1
525 PINE STREET

Officiant Residence City
DEERFIELD

Officiant Residence State
ILLINOIS

Officiant Residence Zip
60015

Mailing Address same as Residence?
True

Officiant Mailing Address 1
525 PINE STREET

Officiant Mailing City
DEERFIELD

Officiant Mailing State
ILLINOIS

Officiant Mailing Zip
60015

Officiant Phone 1
(773) 447-7013

Officiant Email Address
STEVEN@LUCCAOESTERIA.COM

Ceremony Date
6/4/2022

Party 1 Name
BLOOM, JODI LYN

Party 2 Name
FEWELL, KENNETH D

Approved Date
5/10/2022

Certificate Expiration Date
6/5/2022

Renewal Notification Returned Date
1/1/1900