Party Statement: Almoatasim Elkhatib vs Menards

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                                D IN DISTRICT COURT
                                            FugiATE or MINNESOTA

                                                             JAN )1 o    2024

State of MinneSota                          ,
                                                                                                                              District Court
County of:                                                                       Judicial District:             Sta,     ,1   4L
                                                                                 Court File Number:             43'      —
                                                                                                                              (,0   .L1    «.4 léO

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Petitioner / Plaintiff (first, middle, last)
                                                                                                         Affidavit of Service
and / vs.


     -1111             5
Respondent    /        efendant (first, middle, last)

I,                                                                                              ,   state that I am at least 18 years           of age
(Name of person who hand delivered or mailed documents)

having been born on                                        and that on                  ,   I served the     following documents, namely


                                                (Title of Documents hand delivered or mailed)
upon (check one)             [3 Petitioner/Plaintiff                  [:1 Respondent/Defendant
Service was done as follows: (check all that apply)
E] Personal service: By handing a true and correct copy of the documents to

E Mail service: By mailing              a   true and correct copy of the documents by first class mail to (name)

H £116?Yb!5                                                                     at his/her last known address at



(Street address)
                                   Dr
                                    '           Malibu/om]
                                                     (Cig)
                                                                                  M
                                                                                  (State)
                                                                                                             ((1551
                                                                                                            (/J—T'  I


                                                                                                            (Zip Code)
and depositing the envelope, with sufficient postage, in the                           US. Mail at a postal box                located in the
                                                                                                                                '




City of            .                                   ,   State of   MA                                 Zip Code
Ideclare under penalty of perjury that everything that                              I   have stated in this document is true and
correct. Minn. Stat. § 358.116.

Dated:       p147.» :23                                                     Ad
                                                                         Si énature
                                                                         Name:
                                                                                   45%              El   '1: 5/43! .5],
             County           (1   Sféte w ere signed
                                                                         Address:
                                                                                        10    9&1          "£1742
                                                                                                          0 Wile
                                                                         City/State/Zip:
                                                                         Telephone:             £12      , 4951—145]
                                                                         E-mail address:


    SOP105         State            ENG                    Rev 7/15             www.mncourts.gov/torms                              Page   1   of   1