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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202309192005204

Record Date
9/19/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202309192005204

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
GALLEGO, DAVIEN
GALLEGO, DAVIEN A

Date of Birth
2/5/1996

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
8/30/2023

Background Check Req?
False

Officiant Residence Address 1
2918 CORK CT

Officiant Residence City
WESTFIELD

Officiant Residence State
INDIANA

Officiant Residence Zip
46074

Mailing Address same as Residence?
True

Officiant Mailing Address 1
2918 CORK CT

Officiant Mailing City
WESTFIELD

Officiant Mailing State
INDIANA

Officiant Mailing Zip
46074

Officiant Phone 1
(909) 927-7656

Officiant Email Address
DAVIENGALLEGO@GMAIL.COM

Ceremony Date
10/16/2023

Party 1 Name
GALLEGO, BRAXTON

Party 2 Name
GREEN, MADISON

Approved Date
9/19/2023

Certificate Expiration Date
10/17/2023

Notes
FEDEX LABEL PROVIDED