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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202309202005229

Record Date
9/20/2023

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202309202005229

Number of Pages
4

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SANTIAGO, XAVIER

Date of Birth
10/25/1988

Type
Single

Processed By
JAVELINO

Status
Approved

Online Test Passed
9/5/2023

Background Check Req?
False

Officiant Residence Address 1
2875 CLARENDON DR

Officiant Residence City
COLORADO SPRINGS

Officiant Residence State
COLORADO

Officiant Residence Zip
80916

Mailing Address same as Residence?
True

Officiant Mailing Address 1
2875 CLARENDON DR

Officiant Mailing City
COLORADO SPRINGS

Officiant Mailing State
COLORADO

Officiant Mailing Zip
80916

Officiant Phone 1
(630) 340-7138

Officiant Email Address
SANTIAGOX88@GMAIL.COM

Ceremony Date
10/27/2023

Party 1 Name
RONDE, TYLER O

Party 2 Name
KIS, ELISSA

Approved Date
9/20/2023

Certificate Expiration Date
10/28/2023