On February 28, 2024 a
Party Statement
was filed
involving a dispute between
Fairview Health Services,
and
Abdi, Faiza M,
for Conciliation
in the District Court of Stearns County.
Preview
73-CO-24-287
Filed in District Court
State of Minnesota
2/28/2024 8:02 PM
STATE OF MINNESOTA CONCILIATION COURT
COUNTY OF STEARNS SEVENTI'I JUDICIAL DISTRICT
Court File Number:
Case Type: Conciliation
PLAINTIFF'S STATEMENT OF CLAIM
Plaintiff #1 Plaintiff #2
Name: FAIRVIEW HEALTH SERWCES
C/O Riverview Law Office, PLLC N 31116 .
Address: 225 North Benton Drive, Suite 209 Address ,
Ci W/Sta e /Z'110' _
City/State/Zip: Sauk Rapids, MN 56379
VS.
Defendant #1 Defendant #2
Name: FAIZA M ABDI Name:
Address: 1425 MULBERRY ROAD Address: E
City/State/Zip: SAINT CLOUD, MN 56303 '
'
City/Sta'te/Zip: _'
Information about the Defendant
1. How many defendants me there? _1__
Name: FAIZA M ABDI
.
"X." Individual(Pel'son) __ Business
'
If defendant #1 is an individztal.'
I believe the defendant is at least 18 years old.
i. E
E
Date of birth: 10/28/1988 / _
Unknown
ii. Almut rnilitaiy service: :
Defendant is ill military service Defendant is not in militaiy service _2{_ Unknown R
Information about the Claim a
I am filing this claim against Defendant fei':
4
-2.
Money
JEMTIIB Defendant owes Plaintiff $3,227.16, plus filing fees and costs in the amount of $84.00, so Plaintiff's total claim is for
$3,311.16 (annoum. Defendant owes plus filing fees and, costs). Plaintiffhas a claim in this amount becailse on or about
01/17/2022 ~ 01/28/2022 the following happened: Plairitiffprovidecl valuable
goods and services to Defendant and Defendant
has failed to pay for the same. Reference No.: 2961960
gt
3. I understand that if I do not come to court on my
hearing date, my case may be dismissed and I may have to pay money to the '5' E
'
Defendalit 011 any counterclaim that has been filed.
Important! Each plaintiff must sign the Statement of Claim fonn and include the date signed, the name of the state ancl
whei'e signed, and provide the followiiig information: title, if any, county
teleph011e number, date' of birth,'and email address.
I declare under penalty of perjmy that everything I have stated in this document is tine and correct. Mimi. Stat.
Wax/W
§358.116'
_
DATE: Feb 28. 2024
Signature
, Minnesota
CounWdd State where signed Christina S andy #03 92436/Jana Kern #03 92287
Molly Woll #0349562/T611g Lee #0399029
3202292403 Anna Goettl #03 99861
Telephorle Nallle
contact@riverviewl aw.con1 Attorneys 1001' Plaintiff
Email Address Title, 1fa11y
N/A
Date of birth
Document Filed Date
February 28, 2024
Case Filing Date
February 28, 2024
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73-CO-24-287 Filed in District Court State of Minnesota 2/28/2024 8:02 PM STATE OF MINNESOTA CONCILIATION COURT COUNTY OF STEARNS SEVENTI'I JUDICIAL DISTRICT Court File Number: Case Type: Conciliation PLAINTIFF'S STATEMENT OF CLAIM Plaintiff #1 Plaintiff #2 Name: FAIRVIEW HEALTH SERWCES C/O Riverview Law Office, PLLC N 31116 . Address: 225 North Benton Drive, Suite 209 Address , Ci W/Sta e /Z'110' _ City/State/Zip: Sauk Rapids, MN 56379 VS. Defendant #1 Defendant #2 Name: FAIZA M ABDI Name: Address: 1425 MULBERRY ROAD Address: E City/State/Zip: SAINT CLOUD, MN 56303 ' ' City/Sta'te/Zip: _' Information about the Defendant 1. How many defendants me there? _1__ Name: FAIZA M ABDI . "X." Individual(Pel'son) __ Business ' If defendant #1 is an individztal.' I believe the defendant is at least 18 years old. i. E E Date of birth: 10/28/1988 / _ Unknown ii. Almut rnilitaiy service: : Defendant is ill military service Defendant is not in militaiy service _2{_ Unknown R Information about the Claim a I am filing this claim against Defendant fei': 4 -2. Money JEMTIIB Defendant owes Plaintiff $3,227.16, plus filing fees and costs in the amount of $84.00, so Plaintiff's total claim is for $3,311.16 (annoum. Defendant owes plus filing fees and, costs). Plaintiffhas a claim in this amount becailse on or about 01/17/2022 ~ 01/28/2022 the following happened: Plairitiffprovidecl valuable goods and services to Defendant and Defendant has failed to pay for the same. Reference No.: 2961960 gt 3. I understand that if I do not come to court on my hearing date, my case may be dismissed and I may have to pay money to the '5' E ' Defendalit 011 any counterclaim that has been filed. Important! Each plaintiff must sign the Statement of Claim fonn and include the date signed, the name of the state ancl whei'e signed, and provide the followiiig information: title, if any, county teleph011e number, date' of birth,'and email address. I declare under penalty of perjmy that everything I have stated in this document is tine and correct. Mimi. Stat. Wax/W §358.116' _ DATE: Feb 28. 2024 Signature , Minnesota CounWdd State where signed Christina S andy #03 92436/Jana Kern #03 92287 Molly Woll #0349562/T611g Lee #0399029 3202292403 Anna Goettl #03 99861 Telephorle Nallle contact@riverviewl aw.con1 Attorneys 1001' Plaintiff Email Address Title, 1fa11y N/A Date of birth