STATE OF MINNESOTA

COUNTY OF	DISTRICT COURT

______________ JUDICIAL DISTRICT

DIVISION:

CASE TYPE:

,

Plaintiff,

v.

,

Defendant.

AFFIDAVIT OF SERVICE

UNDER MINN. R. CIV. P. 5

LASM Form No. Aff-1 (May 2000)

Case No.

STATE OF MINNESOTA	)

)ss.

COUNTY OF	)

I, , being duly sworn, say that on , I served a copy of the attached documents:

on , the opposing party or agent/attorney for the opposing party in this action, in the City of , County of , in the State of Minnesota, by (select one):

1.	□	mailing a true and correct copy by United State Mail, postage prepaid addressed to: ;

2.	□	transmitting a true and correct copy by facsimile (fax) machine to the following person and fax number: ;

3.	□	delivering a true and correct copy by to the following person and address: ;

4.	□	if no address is known, leaving a true and correct copy with the District Court Administrator.

____________________________________

Date	____________________________________

Subscribed and sworn to before me

on __________________________

Notary Public