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21 2 23 4 2s 26 Form 4- IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF MULTNOMAH Probate Department IN THE MATTER OF THE SEX CHANGE) Case No.: 16CV13991 of GENERAL JUDGMENT OF SEX CHANGE JAMIE SHUPE, Petitioner J Based on the Petition, and the court finding that proper notice to interested parties has been given; that the above-named person has undergone surgical, hormonal, or other treatment ‘appropriate for this person for the purpose of gender transition; that sexual reassignment has been completed; and that no person has shown cause why the requested General Judgment should not be granted, ITIS HEREBY ORDERED AND ADJUDGED: The sex of Jamie Shupe is hereby changed from female to non-binary. Notice of this legal ‘change shall be posted in a public place in Multnomah County as required by law. G]lo]o Ay Hotes Hen) AMY HOLMES HEHN CIRCUIT COURT JUDGE GENERAL JUDGEMENT SEX CHANGE — Page 1 LAW WORKS LLC 1906 SW Madison Street, Suite 20) Portland, OR 97205, 11503) 227.1928 . F (503) 334.2340

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