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Published March 15, 2012, 12:00 AM

NAME CHANGE HEARING: 4/19/12 - Per Lindholm; Case 12-CV-77

STATE OF WISCONSIN

STATE OF WISCONSIN

CIRCUIT COURT

PIERCE COUNTY

NOTICE and ORDER for

NAME CHANGE HEARING

Case No. 12-CV-77

In the matter of the name change of:

Per Lindholm

NOTICE IS GIVEN:

A petition was filed asking to change the name of the person listed above:

From: Per Lindholm

To: Jane Jorgensen

Birth

Certificate: Patricia Eileen Borchard

IT IS ORDERED:

This petition will be heard in the Circuit Court of Pierce County, State of Wisconsin by Judge Joseph D. Boles, Pierce County Courthouse, 414 W. Main St., Ellsworth, WI 54011 on April 19, 2012 at 8:30 a.m.

By the Court: /s/ Joseph D. Boles,

Circuit Court Judge

March 8, 2012

(Pub. 03/15, 03/22, and 03/29/12)

_____________________ WNAXLP

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