NO. CV 2011-09527

SECOND JUDICIAL DISTRICT COURT

COUNTY OF BERNALILLO

STATE OF NEW MEXICO

NO. CV 2011-09527

IN THE MATTER OF THE PETITION OF

POLLI ANNE GOEN-CARLBERG

FOR CHANGE OF NAME

NOTICE OF PETITION TO CHANGE NAME

(ADULT)

NOTICE IS HEREBY GIVEN that Polli Anne Goen-Carlberg, a resident of the City of Albuquerque, County of Bernalillo, State of New Mexico, and over the age of fourteen years, has filed a Petition to Change Name in the Second Judicial District Court, Bernalillo County, New Mexico, wherein she seeks to change her name from Polli Anne Goen-Carlberg to Polli Anne Goen, and that this Petition will be heard before the Honorable NAN G. NASH, District Judge, on the 17 day of  October 2011, at the hour of 1:25 p.m., at the Bernalillo County Courthouse, Albuquerque, New Mexico. Courtroom 602

Respectfully submitted,

/s/ Polli Anne Goen-Carlberg

Polli Anne Goen-Carlberg

Petitioner, pro se

HCS Pub.  September 23, 30, 2011

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