Nevada Code § 122.138

Amended certificate of marriage: Form
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1. An amended certificate of marriage
issued pursuant to NRS 122.137 must be
substantially in the following form:
State of Nevada
Amended Certificate of Marriage
State of Nevada }
}ss.
County of ........................................... }
This is to acknowledge that a
marriage officiant, did on the ........ day of the month of ........ of the
year ........, at ................ (address or church), ................
(city), Nevada, join in lawful wedlock ............... (name), of
................ (city), State of ................, date of birth ..........,
and ................ (name), of ............... (city), State of
................, date of birth ........, with their mutual consent, in the
presence of at least one witness.
(Seal of County Clerk)
This certificate is issued to
reflect an amendment made pursuant to Instrument No. ............ on file at
the Office of the ................ County [Clerk or Recorder] and the court
order issued in ................ County, State of ................, Case No.
..........
The original Certificate of
Marriage No. .........., recorded or filed as Instrument No. .........., is on
file at the Office of the ................ County [Clerk or Recorder].
2. All information contained in the
amended certificate of marriage must be typewritten or legibly printed in black
ink, except the signatures.

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