A coworker used to work in a meatpacking plant. There were two people who had the exact same name, first middle and last. They worked in the same department and in fact on the same machine.

They were both named Jose. One went by, pronounced, Hose-A, and the other Hose-B.

Apparently the Jose's, coworkers, and HR were all fine with this because it was simply too confusing otherwise.

No one ever asked us that which is good because I don't think either of us would have been much impressed by the suggested :p