Party Statement: Justin Thomas Keodouangdy vs Abrianna Marie Ramos

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                                46-CO-22-79
                                                                                                                    Filed in District Court
                                                                                                                      State of Minnesota
                                                                                                                   12/13/2022 10:00 AM




State of Minnesota                                                                      Conciliation Court
 County of:                                                    Judicial District:         i
       f\ nnl-i't                                              Court File Number:
                                                               Case Type:             Conciliation



                                                                             Conciliation Court
Plaintiff (first, middle, last)                                              Affidavit of Service


                 *,,.^ (^*,
'A
vs.

       b.,
Defendant (first, middle, last)

       Check box if there are more than two plaintiffs or more than two defendants. list the other
 3     parties on the Addilional Litigants Form, CCT702.

My name          i, irl     S|,   n     1LO,t,    C   r K( o A"f Cn t#I make the following statement
about       service:                                                          l,)


  1.   tr    Service by Mail
       I am over the age of 18. On                                ,   I served the following   documents:

            I
            \t
                 Summons: Conciliation Court
            p.Plaintiffs     Statement of Claim

            !    Motion to Vacate Judgment and Supporting Affidavit
            !    Demand for Removal/Limited Removal
            I    Other document (specifr):
       by placing a ttue and correct copy of the documery(s) in an envelope addressed as follows:

            Name orparry      served:    Ahrl         An n   a -l(On,.S
                 E I served this party's attorney instead of the party          t\

            Address:     J-35     5 l"h Asy. qi Acf D
                            CrrCne4{        rJnt      c3
            (the last known address) and mailing the envelope in the United States mail by (check
            all that apply):
                   [f   Regular first class mail.
                   E    Certified Mail, postage prepaid.


  Conciliation Court Affidavit of Seruice
  CCT103 State                    ENG       Rev   10/20        www.mncourts.gov/forms                Page 1 of 2
                                                       46-CO-22-79
                                                                                                                           Filed in District Court
                                                                                                                             State of Minnesota
                                                                                                                          12/13/2022 10:00 AM




 2.   fl   Personal Service
      I am over the age of    18.   I am not aparty in this case. I served the following       documents:

             n Sum*ons: Conciliation Court
             ! Plaintiffs Statement of Claim
             I Motion to Vacate Judgment and Supporting Affidavit
             I Demand for Removal/Limited Removal
             f] Other document (speci$i):
       by delivering a copy personally to the following:

           Name of party served:
             E I delivered    the documents to this party's attorney instead of the party

           Where served:


           When served (date and time):

3.   tr    Service not completed (party not found)
           After a careful search, I was not able to find the following parry (or any residence or

           business address for this party):
           I could not find a way to serve this party.

I declare under penalty of perjury that everything I h                        in this document is true and
correct. Minn. Stat. $ 358.116.

Dated:          "'f-          2A                         Signature
                                                         Name:
                                                                                           '4 cf\    il
                                                         Citylstatelzip:  rvr^+ m P 5(
                                                                            Fa rr                                 O   ?   /
                                                         rerephone: 5O; -1110 - lf tl)
                                                         E-mail address:




 Conciliation Court Affidavit of Seruice
 CCT103 State               ENG            Rev 10/20          www. m ncou rts. gov/forms            Page 2 of 2