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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202402282001013

Record Date
2/28/2024

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202402282001013

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SCOTT, ERIC C

Date of Birth
7/22/1971

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
2/8/2024

Background Check Req?
False

Officiant Residence Address 1
4313 ADKISSON LANE

Officiant Residence City
OWINGS MILLS

Officiant Residence State
MARYLAND

Officiant Residence Zip
21117

Mailing Address same as Residence?
True

Officiant Mailing Address 1
4313 ADKISSON LANE

Officiant Mailing City
OWINGS MILLS

Officiant Mailing State
MARYLAND

Officiant Mailing Zip
21117

Officiant Phone 1
(410) 908-4009

Officiant Email Address
PASTORECSCOTT@GMAIL.COM

Officiant Licensure Date
2/28/2024

Ceremony Date
3/16/2024

Party 1 Name
BLANCHARD, SHANTRICE

Party 2 Name
BAZEMORE, ERIC

Approved Date
2/28/2024

Certificate Expiration Date
3/17/2024