On March 05, 2024 a
Statement of Claim Index #1
was filed
involving a dispute between
St. Cloud Ear, Nose & Throat,
and
Fox, Lisa A,
for Conciliation
in the District Court of Stearns County.
Preview
73-CO-24-311
Filed in District Court
State of Minnesota
3/5/2024 12:01 PM
State of Minnesota
District Court
County Judicial District: SEVENTH JUDICIAL DISTRICT
Court File No:
STEARN S Case Type: Conciliation
PLAIN TIF F'S STATEMENT OF CLAIM
Plaintiff #1 Plaintiff #2
Name: St. Cloud Ear Nose & Throat Name
C/O James Roberts Address
5280 15th Ave SE
St. Cloud, MN 56304
City/State/Zip
VS
VS
Defendant #1 Defendant #2
Name Lisa A Fox Name
Address 37002 Pelican Lake Rd Address
Avon MN 56310
City/State/Zip
City/State/Zip
D 1. The Defendant(s) owe(s) me $264.95
plus filing fees and costs of $84.00 for a total of
$348.95 because (state What happened and when it
happened):
Plaintiff provided professional services for the Defendant on an
open account basis
and pursuant to said open account there remains
owing a balance for the above
amount. Defendant has refused to make
payment despite previous demand.
2. I believe the person(s) I am suing is/are at least 18
years old and not in the military service.
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
Defendant(s) on any counterclaim that has been filed.
I declare under penalty of peijur that
y everything I have stated in this document is true and
correct. Minn. Stat. § 358.116.
73-CO-24-311
Filed in District Court
State of Minnesota
3/5/2024 12:01 PM
March 4, 2024
KM
.
-
7
W 2'
Date
Signature
Sherburne County. Minnesota
Name of county and state where signed
Printed Name: James I. Roberts
Title, if any: Attorney at Law
Address: 5280 15th Ave SE
City/State/Zip: St. Cloud, MN 56304
Telephone: 320-253-45 82
E-mail address: jroberts@midco.net
SUMMONS: IMPORTANT NOTICE TO THE PARTIES
You are hereby summoned to appear at the
hearing of the above entitled case. See the attached
Notice of Hearing for time and location. If not
attached, call Conciliation Court.
If the defendant does not appear at the hearing, the plaint
iff may win this case by
default, which means the plaintiff could be awarded a money
judgment against the
defendant. The judgment could include the amount the
plaintiff requested in the Statement
of Claim as well as other fees and costs a officer.
approved by judicial
If the plaintiff does not appear at the hearing, this case may be dismissed. If the
Defendant has filed a counterclainl, then a default
judgment could be entered against the
Plaintiff.
The Defendant may bring a counterclaim
against the Plaintiff A counterclaim must be
filed at least five days before the Conciliation Court
hearing. For forms, instructions, and more
information, see Information About Conciliation Court (court form
website starting at www.mncourts.gov/fonns.
CCTlOl) on the court's,
NOTICE OF SETTLEMENT
The above-entitled case having been settled, the same
may be and hereby is dismissed with my
consent.
Date:
Plaintiff s Signature
Document Filed Date
March 05, 2024
Case Filing Date
March 05, 2024
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73-CO-24-311 Filed in District Court State of Minnesota 3/5/2024 12:01 PM State of Minnesota District Court County Judicial District: SEVENTH JUDICIAL DISTRICT Court File No: STEARN S Case Type: Conciliation PLAIN TIF F'S STATEMENT OF CLAIM Plaintiff #1 Plaintiff #2 Name: St. Cloud Ear Nose & Throat Name C/O James Roberts Address 5280 15th Ave SE St. Cloud, MN 56304 City/State/Zip VS VS Defendant #1 Defendant #2 Name Lisa A Fox Name Address 37002 Pelican Lake Rd Address Avon MN 56310 City/State/Zip City/State/Zip D 1. The Defendant(s) owe(s) me $264.95 plus filing fees and costs of $84.00 for a total of $348.95 because (state What happened and when it happened): Plaintiff provided professional services for the Defendant on an open account basis and pursuant to said open account there remains owing a balance for the above amount. Defendant has refused to make payment despite previous demand. 2. I believe the person(s) I am suing is/are at least 18 years old and not in the military service. 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 Defendant(s) on any counterclaim that has been filed. I declare under penalty of peijur that y everything I have stated in this document is true and correct. Minn. Stat. § 358.116. 73-CO-24-311 Filed in District Court State of Minnesota 3/5/2024 12:01 PM March 4, 2024 KM . - 7 W 2' Date Signature Sherburne County. Minnesota Name of county and state where signed Printed Name: James I. Roberts Title, if any: Attorney at Law Address: 5280 15th Ave SE City/State/Zip: St. Cloud, MN 56304 Telephone: 320-253-45 82 E-mail address: jroberts@midco.net SUMMONS: IMPORTANT NOTICE TO THE PARTIES You are hereby summoned to appear at the hearing of the above entitled case. See the attached Notice of Hearing for time and location. If not attached, call Conciliation Court. If the defendant does not appear at the hearing, the plaint iff may win this case by default, which means the plaintiff could be awarded a money judgment against the defendant. The judgment could include the amount the plaintiff requested in the Statement of Claim as well as other fees and costs a officer. approved by judicial If the plaintiff does not appear at the hearing, this case may be dismissed. If the Defendant has filed a counterclainl, then a default judgment could be entered against the Plaintiff. The Defendant may bring a counterclaim against the Plaintiff A counterclaim must be filed at least five days before the Conciliation Court hearing. For forms, instructions, and more information, see Information About Conciliation Court (court form website starting at www.mncourts.gov/fonns. CCTlOl) on the court's, NOTICE OF SETTLEMENT The above-entitled case having been settled, the same may be and hereby is dismissed with my consent. Date: Plaintiff s Signature