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Document Retrieval Service For Marriages Recorded In: 3486 Happy Ln Las Vegas, NV 89120 CLARK COUNTY, NEVADA 702-450-7141 Certified Abstract of Marriage Order Form OLGA LAZIN 445 LANDFAIR AVE APT 403 LOS ANGELES, CA 90024-2419 We are the original Document Retrieval Service. Be\ S x — — << cS INSTRUCTIONS 1. Print or Type all information. 2. Send $12.00 (U.S.) for 1 certified copy and $12.00 (U.S.) for each additional copy. 3, Make (Check or Money Order) payable to Document Retrieval Service. 4. Mail the completed form and appropriate fee in the enclosed envelope. 5 make a note of our name, address & telephone number for your records.

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