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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202212072006821

Record Date
12/7/2022

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202212072006821

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BREEDEN, PATRICK

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
10/27/2022

Background Check Req?
False

Officiant Residence Address 1
104 E RESACA DRIVE UNIT E5

Officiant Residence City
SANDY

Officiant Residence State
UTAH

Officiant Residence Zip
84070

Mailing Address same as Residence?
True

Officiant Mailing Address 1
104 E RESACA DRIVE UNIT E5

Officiant Mailing City
SANDY

Officiant Mailing State
UTAH

Officiant Mailing Zip
84070

Officiant Phone 1
(224) 723-7941

Officiant Email Address
PATKB123@GMAIL.COM

Ceremony Date
1/13/2023

Party 1 Name
SIFFRAR, JACLYN

Party 2 Name
LEVERICK, JAMES

Approved Date
12/7/2022

Certificate Expiration Date
1/14/2023