On March 05, 2024 a
Statement of Claim Index #1
was filed
involving a dispute between
Fairview Health Services,
and
Gamble, Cassandra E,
Gamble, Justus,
for Conciliation
in the District Court of Isanti County.
Preview
30-CO-24-89
Filed in District Court
State of Minnesota
3/5/2024 1:00 PM
STATE OF MINNESOTA CONCILIATION COURT
\COUNTY OF ISANTI TENTH JUDICIAL DISTRICT
Court File Number:
Case Type: Conciliation
PLAINTIFF'S STATEMENT OF CLAIM
Plaintiff #1 ~
Plaintiff #2
Name: FAIRVIEW HEALTH SERVICES
Name'
C/O Riverview Law Office, PLLC
A d dress:
Address: 225 North Benton Drive, Suite 209
C1 ty/State/Zip.
City/State/Zip: Saulc Rapids, MN 56379
VS.
Defendant #1 Defendant #2
Name: JUSTUS GAMBI_.E' N 31116: CASSANDRA E GAD/IBLE '
Address: 1030 BELLARE BIND NW .
Address: 1030 BELIIAIRE BLVD NW -'
CiW/State/Zip: ISANTI, MN 55 040-7520 .-
City/State/Zip: ISANTI, M1\T 55040~7520 Fr
Information about the Defendant
1. How many defendants are there? _g__
Name: JUSTUS GAMBLE
"L IndividusKPerson) Business
wefendam s1 is an individual:
i. Ibelieve the deferment is at least 18 years old.
Date of birth: 08/25/1992 / Untmown
ii. About military service:
'
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mwDefe:'1lttvz:i E9. initihny («nice ____"'[.'&'FL'33:11121.[ 13; mt Tn n'iTitzuy service iTTll1iitx'l\\'Ii
Name: CAE'SA'NTTR A. Ff- (Edit/(190:3.
MK"t11ttivtdits1(Person) Business
'
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ycltafenziant #2 ts mt ir'zd'rfvicfual:
'
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1.,Ibetteve't11e defmntentis stlesst 18 years old. "
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't'rm
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Dateot'hirthz'II/Ol/1991/__Unlmown
mm?
7
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it. Aboutnfilitaty Service:
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X
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Defencla11t is in military service Defendant is notinmilitary service Unknown
7
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Information abotxt the Claim ,
,0
' 7
27.1amtfltngthis slain; ageinstDefendant for:
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Marts}; '_ 7 ,_ , _
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mats in Plaintiffs
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_'}:'.__"<"In;- TT'i.,3't:rr3:t:11'x3 mwgei 031.1723t3TF373,"'0133. 1131):: fitls.';fi 02'9" 21.31317. t'm; mtx'wnni so utttitllb for"
thizti ,
$1187 133 (emotmt Dafflndtult owes pins fithlg fees amt costs). Plaintiff has a olein1 in this emotmt. beezmsse on orebout
10/13/2019 10:": 3/7021 the H t'lutl'viM-'xi't33 T'hl'hrt]tTpt'o'yhLut \jzdim'ntc gmdr; 0,1111 service; to De Ll bm'cmtmt
has failed to pay 1301' the same. Reference No;: 23683515
3. Iunderstand that it" I- do not cor11e to court on my hearing date, my case may be dismissed and I'mzty have to pay
money to the
Defendant on any counterclaim that has been filed.
Important! Each plaintiff must sig11 the Statement of Claim form a11d1110111de the date signed, the name of the state and county
where signed, and provide the followhlg information: title, if any, telephone member, date of birth, and e~n1ai1 address.
30-CO-24-89
Filed in District Court
State of Minnesota
3/5/2024 1:00 PM
I declare unde1 penalty ofp61Juty that evetyt11i11g I have stated 111 this document' IS tme and comect. Minn Stat. §358. 116
DATE:
/
..
,
4, 2024
Minnesota
MMNZ/
Slgnatme
'Co'untykgfli State where signed
Christina Sandy #039243 6/Jana KGI'II #0392287
Molly W011 #0349562/T611g Lee #0399029
320-229-2403 Anna Goettl #0399861
Telephone Name
l
contact@riverviewlaw.com Attorneys for Plaintiff
Email Address Title, if any
N/A
Date ofbirth
Document Filed Date
March 05, 2024
Case Filing Date
March 05, 2024
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30-CO-24-89 Filed in District Court State of Minnesota 3/5/2024 1:00 PM STATE OF MINNESOTA CONCILIATION COURT \COUNTY OF ISANTI TENTH JUDICIAL DISTRICT Court File Number: Case Type: Conciliation PLAINTIFF'S STATEMENT OF CLAIM Plaintiff #1 ~ Plaintiff #2 Name: FAIRVIEW HEALTH SERVICES Name' C/O Riverview Law Office, PLLC A d dress: Address: 225 North Benton Drive, Suite 209 C1 ty/State/Zip. City/State/Zip: Saulc Rapids, MN 56379 VS. Defendant #1 Defendant #2 Name: JUSTUS GAMBI_.E' N 31116: CASSANDRA E GAD/IBLE ' Address: 1030 BELLARE BIND NW . Address: 1030 BELIIAIRE BLVD NW -' CiW/State/Zip: ISANTI, MN 55 040-7520 .- City/State/Zip: ISANTI, M1\T 55040~7520 Fr Information about the Defendant 1. How many defendants are there? _g__ Name: JUSTUS GAMBLE "L IndividusKPerson) Business wefendam s1 is an individual: i. Ibelieve the deferment is at least 18 years old. Date of birth: 08/25/1992 / Untmown ii. About military service: ' < mwDefe:'1lttvz:i E9. initihny («nice ____"'[.'&'FL'33:11121.[ 13; mt Tn n'iTitzuy service iTTll1iitx'l\\'Ii Name: CAE'SA'NTTR A. Ff- (Edit/(190:3. MK"t11ttivtdits1(Person) Business ' ' ycltafenziant #2 ts mt ir'zd'rfvicfual: ' t!" ' " 1.,Ibetteve't11e defmntentis stlesst 18 years old. " " 't'rm ' g, - ~ ' ' ' '- - ' Dateot'hirthz'II/Ol/1991/__Unlmown mm? 7 " it. Aboutnfilitaty Service: ~ , _ _ ,. X ' " Defencla11t is in military service Defendant is notinmilitary service Unknown 7 3 H ' 3 7 Information abotxt the Claim , ,0 ' 7 27.1amtfltngthis slain; ageinstDefendant for: ' Marts}; '_ 7 ,_ , _ . mats in Plaintiffs '7 _'}:'.__"<"In;- TT'i.,3't:rr3:t:11'x3 mwgei 031.1723t3TF373,"'0133. 1131):: fitls.';fi 02'9" 21.31317. t'm; mtx'wnni so utttitllb for" thizti , $1187 133 (emotmt Dafflndtult owes pins fithlg fees amt costs). Plaintiff has a olein1 in this emotmt. beezmsse on orebout 10/13/2019 10:": 3/7021 the H t'lutl'viM-'xi't33 T'hl'hrt]tTpt'o'yhLut \jzdim'ntc gmdr; 0,1111 service; to De Ll bm'cmtmt has failed to pay 1301' the same. Reference No;: 23683515 3. Iunderstand that it" I- do not cor11e to court on my hearing date, my case may be dismissed and I'mzty have to pay money to the Defendant on any counterclaim that has been filed. Important! Each plaintiff must sig11 the Statement of Claim form a11d1110111de the date signed, the name of the state and county where signed, and provide the followhlg information: title, if any, telephone member, date of birth, and e~n1ai1 address. 30-CO-24-89 Filed in District Court State of Minnesota 3/5/2024 1:00 PM I declare unde1 penalty ofp61Juty that evetyt11i11g I have stated 111 this document' IS tme and comect. Minn Stat. §358. 116 DATE: / .. , 4, 2024 Minnesota MMNZ/ Slgnatme 'Co'untykgfli State where signed Christina Sandy #039243 6/Jana KGI'II #0392287 Molly W011 #0349562/T611g Lee #0399029 320-229-2403 Anna Goettl #0399861 Telephone Name l contact@riverviewlaw.com Attorneys for Plaintiff Email Address Title, if any N/A Date ofbirth