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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202402282000999

Record Date
2/28/2024

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202402282000999

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
HURLEY, JERRALD

Date of Birth
4/23/1963

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
1/17/2024

Background Check Req?
False

Officiant Residence Address 1
4501 NEW CANAAN RD

Officiant Residence City
EDMOND

Officiant Residence State
OKLAHOMA

Officiant Residence Zip
73034

Mailing Address same as Residence?
True

Officiant Mailing Address 1
4501 NEW CANAAN RD

Officiant Mailing City
EDMOND

Officiant Mailing State
OKLAHOMA

Officiant Mailing Zip
73034

Officiant Phone 1
(405) 209-8461

Officiant Email Address
JERRY@LIFE.CHURCH

Officiant Licensure Date
2/28/2024

Ceremony Date
4/4/2024

Party 1 Name
KISELEV, STANISLAV

Party 2 Name
HALSELL, CANDICE

Approved Date
2/28/2024

Certificate Expiration Date
4/5/2024