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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202309192005210

Record Date
9/19/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202309192005210

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
RICKARD, KENNETH

Date of Birth
1/29/1979

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
8/22/2023

Background Check Req?
False

Officiant Residence Address 1
17396 IVY AVENUE

Officiant Residence City
FONTANA

Officiant Residence State
CALIFORNIA

Officiant Residence Zip
92335

Mailing Address same as Residence?
True

Officiant Mailing Address 1
17396 IVY AVENUE

Officiant Mailing City
FONTANA

Officiant Mailing State
CALIFORNIA

Officiant Mailing Zip
92335

Officiant Phone 1
(909) 957-4658

Officiant Email Address
KKRICKARD00@GMAIL.COM

Ceremony Date
11/10/2023

Party 1 Name
RICKARD, DYLAN

Party 2 Name
TURNER, BAILEY

Approved Date
9/19/2023

Certificate Expiration Date
11/11/2023