State of Wisconsin

Circuit Court

Burnett County

In the Matter of the Name change of

Mary Elizabeth Dieltz

Notice and Order for Name Change Hearing

Case No. 19CV144

Notice is Given:

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

From: Mary Elizabeth Dieltz

to: Mary Elizabeth Sanderson

Birth Certificate: Mary Elizabeth Dieltz

It is Ordered:

This petition will be heard in the Circuit Court of Burnett County, State of Wisconsin before Hon. Melissia R. Mogen at the Burnett County Government Center, 1710 County Rd K, Siren, WI 54872 on October 3, 2019 at 2:30 p.m.

If you require reasonable accommodations due to a disability to participate in the court process, please call 715-349-2147 at least ten (10) working days prior to the scheduled court date. Please note that the court does not provide transporation.

It is further ordered:

Notice of this hearing shall be given by publication as a Class 3 notice for three (3) weeks in a row prior to the date of the hearing in the Burnett County Sentinel, a newspaper published in Burnett County, State of Wisconsin.

By the Court:

/s/ Melissia R. Mogen

Circuit Court Judge

September 5, 2019

WNAXLP

(Sept. 11, 18, 25)