On May 23, 2022 a
Party Statement
was filed
for Conciliation
in the District Court of Ramsey County.
Preview
62-CO-22-1365
Filed in District Court
State of Minnesota
5/23/2022 6:52 PM
212741
State of Minnesota Co nciliation Court
County of: RAMSEY SECOND JUDICIAL DISTRICT
Case No.
Case Type: Conciliation
PLAINTIFF'S STATEMENT OF CLAIM AND SUMMONS
Plaintiff #1
CHALET DENTAL CARE, P.A.
C/O Stewart, Zlimen & Jungers, LTD.
2860 Patton Road
Roseville MN 55113
Phone 651-366-6380 Fax 651-366-6381
VS.
Defendant #1 Defendant #2
RICKY SOK
1365 WESTERN AVE N APT 16
SAINT PAUL, MN 55117-4385
G Check box if there are more than two plaintiffs or more than two defendants. List the information for the other parties on the
Additional Litigants Form, CCT702.
Information about the Defendant(s):
1. How many defendants are there? 1 Defendant
a. Defendant # 1
Name: RICKY SOK
O Individual (Person) G Business
If Defendant #1 is an individual:
i. I believe Defendant #1 is at least 18 years old.
ii. About military service:
G Defendant # 1 is in military service
O Defendant # 1 is not in military service
G Unknown
iii. I believe Defendant #1 is a resident of the forum county.
b. Defendant # 2
Name:
G Individual (Person) G Business
If Defendant #2 is an individual:
i. I believe Defendant #2 is at least 18 years old.
ii. About military service:
G Defendant # 2 is in military service
G Defendant # 2 is not in military service
G Unknown
iii. I believe Defendant #2 is a resident of the forum county.
If there are more than 2 defendants, use the Additional Litigants Form (CCT702)
Information about the Claim:
2. I am filing this clam against Defendant(s) for: (check all that apply)
Money
O The Defendant(s) owes Plaintiff $628.97 plus filing fees and costs of $85.00, for a total of $713.97, plus disbursements,
if any. Plaintiff operates a health care facility in Minnesota. In this instance, Plaintiff provided medical goods or services to
Defendant(s).
Defendant(s) are indebted to Plaintiff in the amount of $628.97 for medical goods or services provided by Plaintiff and
accepted by Defendant on or about the following date(s): 06/25/2020 through 05/13/2021. Alternatively, Defendant would
be unjustly enriched if allowed to receive said goods or services without paying Plaintiff.
The last payment was made on or about 05/20/2021.
3. I understand that if I do not come to court on my hearing date, my case will be dismissed and I may have to pay money to
the Defendant on any counterclaim that has been filed.
I declare under penalty of perjury that everything I have stated in this document is true and correct.
Minn. Stat. § 358.116.
62-CO-22-1365
Filed in District Court
State of Minnesota
5/23/2022 6:52 PM
/s/ Christine Barry
Signature (Plaintiff #1) Signature (Plaintiff #2)
OR O There is only 1 plaintiff
Dated: May 17, 2022
Ramsey County, State of Minnesota
NAME: Christine A Barry, #0401469 christy@szjlaw.com
ATTORNEYS
2860 Patton Road, Roseville MN 55113
651-366-6380
SUMMONS: IMPORTANT NOTICE TO THE PARTIES
You are summoned to appear at the hearing of the above-entitled case. See the attached Notice of Hearing for time and location. If
not attached, call Conciliation Court in RAMSEY County.
If the defendant does not appear at the hearing, the plaintiff may win this case by default, which means the plaintiff could be
awarded a money judgment against the defendant. The judgment could include the amount the plaintiff requested in the
Statement of Claim as well as other fees and costs approved by a judicial officer.
If the plaintiff does not appear at the hearing, the case may be dismissed. If the defendant has filed a counterclaim, then a
default judgment could be entered against the plaintiff.
The defendant may bring a counterclaim against the Plaintiff. A counterclaim must be filed at least seven days before the
Conciliation Court hearing. For forms, instructions and more information, see "Information About Conciliation Court" (court form
CCT101) on the court's website starting at www.mncourts.gov/forms.
_________________________________________________________________________________________________________
NOTICE OF SETTLEMENT
The above-entitled case has been settled, and is dismissed with my consent.
Important! Each plaintiff who has settled the case must sign and date this "Notice of Settlement" section.
Date: _____________________________ Plaintiff’s Signature: _________________________________________
Document Filed Date
May 23, 2022
Case Filing Date
May 23, 2022
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62-CO-22-1365 Filed in District Court State of Minnesota 5/23/2022 6:52 PM 212741 State of Minnesota Co nciliation Court County of: RAMSEY SECOND JUDICIAL DISTRICT Case No. Case Type: Conciliation PLAINTIFF'S STATEMENT OF CLAIM AND SUMMONS Plaintiff #1 CHALET DENTAL CARE, P.A. C/O Stewart, Zlimen & Jungers, LTD. 2860 Patton Road Roseville MN 55113 Phone 651-366-6380 Fax 651-366-6381 VS. Defendant #1 Defendant #2 RICKY SOK 1365 WESTERN AVE N APT 16 SAINT PAUL, MN 55117-4385 G Check box if there are more than two plaintiffs or more than two defendants. List the information for the other parties on the Additional Litigants Form, CCT702. Information about the Defendant(s): 1. How many defendants are there? 1 Defendant a. Defendant # 1 Name: RICKY SOK O Individual (Person) G Business If Defendant #1 is an individual: i. I believe Defendant #1 is at least 18 years old. ii. About military service: G Defendant # 1 is in military service O Defendant # 1 is not in military service G Unknown iii. I believe Defendant #1 is a resident of the forum county. b. Defendant # 2 Name: G Individual (Person) G Business If Defendant #2 is an individual: i. I believe Defendant #2 is at least 18 years old. ii. About military service: G Defendant # 2 is in military service G Defendant # 2 is not in military service G Unknown iii. I believe Defendant #2 is a resident of the forum county. If there are more than 2 defendants, use the Additional Litigants Form (CCT702) Information about the Claim: 2. I am filing this clam against Defendant(s) for: (check all that apply) Money O The Defendant(s) owes Plaintiff $628.97 plus filing fees and costs of $85.00, for a total of $713.97, plus disbursements, if any. Plaintiff operates a health care facility in Minnesota. In this instance, Plaintiff provided medical goods or services to Defendant(s). Defendant(s) are indebted to Plaintiff in the amount of $628.97 for medical goods or services provided by Plaintiff and accepted by Defendant on or about the following date(s): 06/25/2020 through 05/13/2021. Alternatively, Defendant would be unjustly enriched if allowed to receive said goods or services without paying Plaintiff. The last payment was made on or about 05/20/2021. 3. I understand that if I do not come to court on my hearing date, my case will be dismissed and I may have to pay money to the Defendant on any counterclaim that has been filed. I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. 62-CO-22-1365 Filed in District Court State of Minnesota 5/23/2022 6:52 PM /s/ Christine Barry Signature (Plaintiff #1) Signature (Plaintiff #2) OR O There is only 1 plaintiff Dated: May 17, 2022 Ramsey County, State of Minnesota NAME: Christine A Barry, #0401469 christy@szjlaw.com ATTORNEYS 2860 Patton Road, Roseville MN 55113 651-366-6380 SUMMONS: IMPORTANT NOTICE TO THE PARTIES You are summoned to appear at the hearing of the above-entitled case. See the attached Notice of Hearing for time and location. If not attached, call Conciliation Court in RAMSEY County. If the defendant does not appear at the hearing, the plaintiff may win this case by default, which means the plaintiff could be awarded a money judgment against the defendant. The judgment could include the amount the plaintiff requested in the Statement of Claim as well as other fees and costs approved by a judicial officer. If the plaintiff does not appear at the hearing, the case may be dismissed. If the defendant has filed a counterclaim, then a default judgment could be entered against the plaintiff. The defendant may bring a counterclaim against the Plaintiff. A counterclaim must be filed at least seven days before the Conciliation Court hearing. For forms, instructions and more information, see "Information About Conciliation Court" (court form CCT101) on the court's website starting at www.mncourts.gov/forms. _________________________________________________________________________________________________________ NOTICE OF SETTLEMENT The above-entitled case has been settled, and is dismissed with my consent. Important! Each plaintiff who has settled the case must sign and date this "Notice of Settlement" section. Date: _____________________________ Plaintiff’s Signature: _________________________________________