On November 05, 2021 a
Party Statement
was filed
involving a dispute between
Essentia Health,
and
Hruby, Matthew R,
for Conciliation
in the District Court of Polk County.
Preview
60-CO-21-65
Filed in District Court
State of Minnesota
1/28/2022 6:18 PM
2477670 CW569
STATE OF MINNESOTA DISTRICT COURT
COUNTY OF POLK NINTH JUDICIAL DISTRICT
CASE TYPE: CIVIL
ESSENTIA HEALTH
PLAINTIFF, CASE NUMBER: 60002165
VS. AFFIDAVIT OF INCREASED COSTS
MATTHEW R HRUBY
DEFENDANT(S).
The undersigned is the attorney for the creditor, in the above entitled action. The following is a true statement of the increased
costs incurred in the enforcement of the judgment entered in this matter. The increased costs do not include
any additional
attorney's fees.
Writ of Execution Fee: $
Mail Service Costs: $
SherifflPersonal Service Costs: $
Gamishment Costs: $
Levy Costs: 53
’"‘
Transoribo Costs: $ £40
5
.._..-
E-file Service Costs: $
Other Cost(s): $
'”
TOTAL: $ L75
I declare under penalty of peijury that everything I have stated in this document is tme and correct. Minn. Stat. 35 8.1 16.
§
/m MK“ Zflyl/
Dated
\. Attofiieys for Plaintiff
Christine R. Sandy #0392436
/ , State of Minnesota Jana L. Kem #0392287
County and State where signed Teng W. Lee #0399029
Molly W. W011 #0349562
Riverview Law Office, PLLC
225 N. Benton Dr., Ste. 209, PO Box 570
Sauk Rapids, MN 56379—0570
Phone (320) 229—2403
Document Filed Date
January 28, 2022
Case Filing Date
November 05, 2021
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60-CO-21-65 Filed in District Court State of Minnesota 1/28/2022 6:18 PM 2477670 CW569 STATE OF MINNESOTA DISTRICT COURT COUNTY OF POLK NINTH JUDICIAL DISTRICT CASE TYPE: CIVIL ESSENTIA HEALTH PLAINTIFF, CASE NUMBER: 60002165 VS. AFFIDAVIT OF INCREASED COSTS MATTHEW R HRUBY DEFENDANT(S). The undersigned is the attorney for the creditor, in the above entitled action. The following is a true statement of the increased costs incurred in the enforcement of the judgment entered in this matter. The increased costs do not include any additional attorney's fees. Writ of Execution Fee: $ Mail Service Costs: $ SherifflPersonal Service Costs: $ Gamishment Costs: $ Levy Costs: 53 ’"‘ Transoribo Costs: $ £40 5 .._..- E-file Service Costs: $ Other Cost(s): $ '” TOTAL: $ L75 I declare under penalty of peijury that everything I have stated in this document is tme and correct. Minn. Stat. 35 8.1 16. § /m MK“ Zflyl/ Dated \. Attofiieys for Plaintiff Christine R. Sandy #0392436 / , State of Minnesota Jana L. Kem #0392287 County and State where signed Teng W. Lee #0399029 Molly W. W011 #0349562 Riverview Law Office, PLLC 225 N. Benton Dr., Ste. 209, PO Box 570 Sauk Rapids, MN 56379—0570 Phone (320) 229—2403