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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202404142001886

Record Date
4/14/2024

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202404142001886

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
SMITH, ZACKARY M

Date of Birth
4/9/1996

Type
Single

Processed By
JOSEPHST

Status
Approved

Online Test Passed
4/7/2024

Background Check Req?
False

Officiant Residence Address 1
9567 HIGHWAY 15 NORTH

Officiant Residence City
WARTHEN

Officiant Residence State
GEORGIA

Officiant Residence Zip
31094

Mailing Address same as Residence?
False

Officiant Mailing Address 1
952 GEORGIA APT 10

Officiant Mailing City
MACON

Officiant Mailing State
GEORGIA

Officiant Mailing Zip
31201

Officiant Phone 1
(478) 521-0151

Officiant Email Address
ZACKSMITH1427@GMAIL.COM

Officiant Licensure Date
4/14/2024

Ceremony Date
5/10/2024

Party 1 Name
ERMOLENKO, COLBIE L

Party 2 Name
RAGSDALE JR, WILLIAM C

Approved Date
4/14/2024

Certificate Expiration Date
5/11/2024