Civil Cover Sheet Page 5

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F
J
D
P
IRST
UDICIAL
ISTRICT OF
ENNSYLVANIA
C
C
P
P
C
OURT OF
OMMON
LEAS OF
HILADELPHIA
OUNTY
T
D
—C
RIAL
IVISION
IVIL
IN THE MATTER OF
:
_______________TERM, ________
PETITION FOR CHANGE OF
:
NAME OF
:
:
:
_______________________________
:
NO. __________________________
ORDER FOR PUBLICATION
AND NOW, this __________ day of _________________________, 200______,
on motion of the above named Petitioner, it is ORDERED and DECREED that the
within Petition for Change of Name be heard on the ___________ day of
__________________, 200________, in Courtroom 285, City Hall, Philadelphia, Pa., at
_____________o’clock ___.m., and that notice of the filing of the within petition and of
the aforesaid date of hearing be published in The Legal Intelligencer, and a paper of
general circulation.
BY THE COURT:
______________________________
J.

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