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STATE OF WISCONSIN CIRCUIT COURT, PIERCE COUNTY Notice and order for Name Change Hearing Case No. 22CV56 IN THE MATTER OF THE NAME CHANGE OF Samuel James Newman By (Petitioner) Rachel Lynn Eastgate By (Co-Petitioner) Zachary James Eastgate

NOTICE IS GIVEN: __ _________ ____ _____ _______ ___ _______ ____ _____ ___ ____ ___ –

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FROM: ______________ ______________ _____________

TO: ______________ ______________ _______________

BIRTH CERTIFICATE: ______________ ______________ _____________

IT IS ORDERED: _____ _________ _____ ___ ______ ___ ____ ________ ______ ___ _______ ___________________________ ____________________________ ______ _______ _______ ___________ ______________ _____________________ ___________________ __________________ ______________ ____________________ –