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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202302022000644

Record Date
2/2/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202302022000644

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
ACKATZ, JOHN

Type
Single

Processed By
GARCIAB

Status
Approved

Online Test Passed
1/13/2023

Background Check Req?
False

Officiant Residence Address 1
5812 COUNTY ROAD M

Officiant Residence City
FORT ATKINSON

Officiant Residence State
WISCONSIN

Officiant Residence Zip
53538

Mailing Address same as Residence?
True

Officiant Mailing Address 1
5812 COUNTY ROAD M

Officiant Mailing City
FORT ATKINSON

Officiant Mailing State
WISCONSIN

Officiant Mailing Zip
53538

Officiant Phone 1
(920) 222-9411

Officiant Email Address
J_ACKATZ@YAHOO.COM

Ceremony Date
3/11/2023

Party 1 Name
ACKATZ, NICOLE

Party 2 Name
MURPHY, ALEXANDER

Approved Date
2/2/2023

Certificate Expiration Date
3/12/2023