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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202402282001009

Record Date
2/28/2024

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202402282001009

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
NIETZOLD, DAVID

Date of Birth
10/11/1983

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
2/12/2024

Background Check Req?
False

Officiant Residence Address 1
15816 W GIRARD AVE

Officiant Residence City
MORRISON

Officiant Residence State
COLORADO

Officiant Residence Zip
80465

Mailing Address same as Residence?
True

Officiant Mailing Address 1
15816 W GIRARD AVE

Officiant Mailing City
MORRISON

Officiant Mailing State
COLORADO

Officiant Mailing Zip
80465

Officiant Phone 1
(630) 803-6932

Officiant Email Address
DAVID.NIETZOLD@GMAIL.COM

Officiant Licensure Date
2/28/2024

Ceremony Date
4/20/2024

Party 1 Name
MACALIK, MARIO

Party 2 Name
WALLER, ASHLEY

Approved Date
2/28/2024

Certificate Expiration Date
4/21/2024