SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY
Case Number: CV2019-004886
APPLICATION FOR CHANGE OF NAME FOR A MINOR CHILD SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY:
In the Matter of: Wrennie Carmelo Thomas, A Minor STATEMENTS TO THE COURT, UNDER OATH OR AFFIRMATION 1. INFORMATION ABOUT ME, THE APPLICANT Maria Del Carmen Quinn, 10440 W Monterosa St, Maricopa County Date of Birth: 11-08-1979, 1. Place of Birth: Culiacan Sinaloa Mexico 2. INFORMATION ABOUT THE MINOR FOR WHOM THIS NAME CHANGE IS REQUESTED: Name as it appears on the Birth Certificate: Wrennie Carmelo Thomas, Relation to Applicant: Mother County of Residence: Maricopa Date of Birth: 08-14-2013. Place of Birth: Phoenix, Arizona New Name Requested: Carmelo Quinn-Gutierrez 3. I ASK THAT THE BIRTH RECORDS BE CHANGED TO REFLECT THE NEW NAME LISTED ABOVE. ADDITIONAL STATEMENTS I understand that this name change does not establish paternity and will not cause a father’s name to be added to a birth certificate. This application is made solely for the best interest of the minor child named above. It will not release the person from any obligations incurred or harm any rights of property or action in any original name. UNDER OATH OR BY AFFIRMATION I swear or affirm under penalty of perjury that the contents of this document are true and correct to the best of my knowledge and belief. Date: 7-16-2019 JEFF FINE, CLERK OF THE SUPERIOR COURT.
Published in the Wickenburg Sun. September 18th, 25th, 2019. October 2nd and 9th, 2019