comply with said Supplemental Order to the extent said Order does not

conflict with other provisions of this Decree.

     16.  RESTORATION OF FORMER NAME.  The _____________________  ( ) shall

( ) shall NOT  be restored to her former name of _________________________.

     ( )  Upon the entry of this decree, the wife shall be known as

_________________________________________________.

     17.  Each party shall execute any and all documents necessary to carry

out the terms of this decree.

     18.  The parties shall bear their own costs.

     DATED this ________ day of _________________________, __________.

 

                                          _________________________________
                                          Judge


                            CERTIFICATE OF MAILING

     The undersigned certifies that on the ______ day of _________________,

_______ s/he served a true and conformed copy of the original of the

foregoing DECREE OF DIVORCE upon the following individuals in the manner

described:

     (a) upon the plaintiff at ____________________________________________

     (b) and upon the defendant at ________________________________________

when s/he deposited the same into the US Mail in the pre-addressed, stamped

envelopes provided by the plaintiff, sufficient postage affixed.

                                             CLERK OF THE DISTRICT COURT



                                         By: ______________________, Deputy

DECREE OF DIVORCE
(WITH CHILDREN INVOLVED)
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