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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202206032003277

Record Date
6/3/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202206032003277

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
FOWLER, GARY

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
4/5/2022

Background Check Req?
False

Officiant Residence Address 1
6045 PIRATES DELIGHT AVENUE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89139

Mailing Address same as Residence?
True

Officiant Mailing Address 1
6045 PIRATES DELIGHT AVENUE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89139

Officiant Phone 1
(702) 728-9782

Officiant Email Address
GARY6802@GMAIL.COM

Ceremony Date
7/9/2022

Party 1 Name
HAWTHORNE, JESSICA

Party 2 Name
MATA-ALVAREZ, JUAN CARLOS

Approved Date
6/3/2022

Certificate Expiration Date
7/10/2022