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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202211222006624

Record Date
11/22/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202211222006624

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
VAN AUSDALL, JEFFREY NEIL

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
9/25/2022

Background Check Req?
False

Officiant Residence Address 1
1969 BUTTERCUP LANE

Officiant Residence City
REDDING

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
96002

Mailing Address same as Residence?
True

Officiant Mailing Address 1
1969 BUTTERCUP LANE

Officiant Mailing City
REDDING

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
96002

Officiant Phone 1
(530) 710-4047

Officiant Email Address
JVAN@MAIL.COM

Ceremony Date
1/13/2023

Party 1 Name
VAN AUSDALL, JAMIE

Party 2 Name
JACKS, DAVID

Approved Date
11/22/2022

Certificate Expiration Date
1/14/2023