State of Wisconsin

Circuit Court

Burnett County

In the Matter of the Name Change of

Calvin Ewald Peterson

By (Petitioner) Calvin Ewald Peterson

Notice is Given:

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

From: Calvin Ewald Peterson

To: Calvin Ewald Petersen

Birth Certificate: Calvin Ewald Peterson

It is ordered:

This petition will be heard in the circuit court of Burnett County, State of Wisconsin, before the Hon. Melissia Mogen at the Burnett County Courthouse, 7410 Cty Rd K, #220, Siren, WI 54872 on December 3, 2019 at 9:00 a.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 transportation.

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 at the Burnett County Sentinel a newspaper published in Burnett County, State of Wisconsin.

By the Court:

/s/ Melissia R. Mogen

Circuit Court Judge

October 17, 2019

WNAXLP

(Oct. 23, 30, Nov. 6)