Decree Name ChangeCal. Super. - 6th Dist.May 4, 2021NC-1 30 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE EAR NUMBER; NAME; Maurice Dale Blossom FIRM NAME: STREET ADDRESS: 5834 AmapOIa Drive CITY: san Jose, CA 951 29 STATE: ZIP CODE: TELEPHONE No.: 909-230-2773 FA): No; Emmnoaass: mikebrunett49@gmail.com AWORNEY FOR (name): SUPERIOR COURT 0F CALIFORNIA: COUNTY 0F santa Clara STREETADDRESS: 1 91 North FlrSt Street MAILING ADDRESS: cmAND ZIP cone: San Jose 951 13 BRANCH NAME: PETITION 0F (name of each petitioner): Maurice Dale Blossom FOR CHANGE OF NAME CASE NUMBER: DEGREE CHANGING NAME 2,1 C V 3 8 1 2 i? 4- 1. The petition was duly considered: -- r __ a. E atthe hearing on (date): JUL fl 3 2021] ' ' in Courtroom: ofthe above-entitled court. b.Z without hearing. THE COURT FINDS 2. a. All notices required by law have been given. b. Each person whose name is to be changed identified in item 3 below is not E is required to register as a sex offender under section 290 of the Penal Code. This determination was made (check one):E by using CLETSICJIS E based on information provided to the clerk of the court by a local law enforcement agency. c.mo objections to the proposed change of name were made. d. E Objections to the proposed change of name were made by (name): e. It appears to the satisfaction of the court that all the allegations in the petition are true and sufficient and that the petition should be granted. f. a Other findings (if any): THE COURT ORDERS 3. The name of Present name New name a. Maurice Dale Blossom is changed to Mike Dale Brunett b. is changed to c. is changed to d. is changed to E Additional name changes are listed on Attachment 3. Date: JUDGE 0F THE SUPERIOR COURTE SIGNATURE 0F JUDGE FOLLOWS LAST ATTACHMENT Page 1 o, 1 Form Adopted tor Mandatory Use DEGREE CHANGING NAME Code of Civil procedure, §§ 127a, 1279 Judicial Council of California ‘ mmmmtscagov NC-130 [Rem September 1. 2018] Signed: 7/23/2021 11:27 AM July 23, 2021 Filed July 26, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CV381274 By: tngo JULIE A EMEDE
