Summons - State Of Minnesota District Court Page 6

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Affidavit of Personal Service
File No. _________________
STATE OF MINNESOTA
COURT OF DAKOTA
____________________________________, being duly sworn, on oath says that on the
(Name of person serving documents)
______day of _________________,20_____ (s)he served the attached Summons and Complaint
upon ________________________________________________ therein named, personally, at
___________________________________________________________________________
(Address)
in the county of ______________________, State of Minnesota, by handing to and leaving with
______________________________________________________________________________
(Name of person who accepted documents)
a true and correct copy thereof.
Subscribed and sworn to me this
____________________________________
_______ day of _____________.
(signature)
__________________________
(notary or court clerk)

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