NO: 17-NC-0018

By on February 9, 2018

IN THE TRIBAL COURT
PUEBLO OF ACOMA
STATE OF NEW MEXICO
CASE NO: 17-NC-0018
IN THE MATTER OF A PETITION FOR
CHANGE OF NAME OF:
Randi Shutiva,
(As it appears on Birth Certificate)
PETITION FOR CHANGE OF NAME
COMES NOW, the Petitioner, and state the following:
1) I am an enrolled member of the Acoma Pueblo/Tribe.
2) I reside in Acoma, New Mexico.
3) I was born on June 18, 1987 (Date of Birth).
4) I am the age of 30.
5) My present legal name is Randi Shutiva.
(As it appears on your Birth Certificate)
6. I would like to change my name to Elaine Shutiva Mamahua.
For the following reason (s):
Marriage and to change my first name.
WHEREFORE, the Petitioner respectfully request the court for an order granting change of name as requested.
Respectfully Submitted,
/s/ Randi Shutiva
Randi Shutiva
HCS Pub. February 9, 16, 2018

Leave a Reply

Your email address will not be published.