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IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT, MCLEAN COUNTY, ILLINOIS IN THE MATTER OF THE PETITION OF ) ) ) A Minor by Parent or Guardian ) CASE # ) ) ) For Change of Name ) NOTICE OF HEARING To: On at or as soon thereafter as counsel may be heard, I shall appear before the Honorable or any judge sitting in his/her stead, at the McLean County Law & Justice Center, 104 W. Front St, Bloomington, Illinois, and present the enclosed Petition for Change of Name – Minor. Name: Attorney for: Address: City: Telephone: ---PAGE BREAK--- AFFIDAVIT OF SERVICE / PROOF OF MAILING on oath states: On I served this Notice of Hearing by mailing a copy by Certified Mail with Return Receipt Requested to each person to whom it is directed. A copy of the Certified Mail Receipt is attached. Signed and sworn before me on Notary Public (attach mail receipt here)