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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202206022003239

Record Date
6/2/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202206022003239

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
RILEY, STEPHEN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
5/28/2022

Background Check Req?
False

Officiant Residence Address 1
1125 N 12TH AVENUE

Officiant Residence City
WEST BEND

Officiant Residence State
WISCONSIN

Officiant Residence Zip
53090

Mailing Address same as Residence?
True

Officiant Mailing Address 1
1125 N 12TH AVENUE

Officiant Mailing City
WEST BEND

Officiant Mailing State
WISCONSIN

Officiant Mailing Zip
53090

Officiant Phone 1
(262) 707-9658

Officiant Email Address
STEVIERAYRILEY@YAHOO.COM

Ceremony Date
7/15/2022

Party 1 Name
DREIFUERST, MONICA

Party 2 Name
BOLDT, ROBERT

Approved Date
6/2/2022

Certificate Expiration Date
7/16/2022