NOTICE OF PETITION FOR CHANGE OF NAME STATE OF INDIANA SS COUNTY OF KOSCIUSKO IN RE THE NAME CHANGE OF: ANDREA MARIE SEMLER, Petitioner IN THE KOSCIUSKO CIRCUIT COURT CASE NO. 43C01-1509-MI-210 Andrea Marie Semler, whose mailing address is: 83 EMS B42 Ln, Leesburg, IN 46538-9440, And, if different, my residence address is: Kosciusko County, Indiana hereby gives notice that she has filed a petition in the Kosciusko Circuit Court requesting that her name be changed to Andy Mountain Semler. Notice is further given that hearing will be held on said Petition on the 6th day of November, 2015 at 8:30 o'clock a.m. Any interested person wishing to be heard may appear at the hearing and file written objections to this request. Andrea Marie Semler, Petitioner Date: 9-3-15 Ann Torpy, Clerk of Kosciusko Circuit Court 9-8,15,22 hspaxlp