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Public Notice Minnesota Secretary of State AMENDMENT TO CERTIFICATE OF ASSUMED NAME Minnesota Statutes Chapter 333

Public Notice Minnesota Secretary of State AMENDMENT TO CERTIFICATE OF ASSUMED NAME Minnesota Statutes Chapter 333 1. State the exact assumed name under which the business is or will be conducted: Ebner Insurance 2. State the address of the princ...

Public Notice

Minnesota Secretary of State

AMENDMENT TO

CERTIFICATE OF ASSUMED NAME

Minnesota Statutes Chapter 333

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1. State the exact assumed name under

which the business is or will be conducted:

Ebner Insurance

2. State the address of the principal place

of business. 20 Jefferson Street South,

Wadena, MN 56482

3. List the name and complete street ad-

dress of all persons conducting business un-

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der the above Assumed Name, OR if an en-

tity, provide the legal corporate, LCC, or Lim-

ited Partnership name and registered office

address. Mickelson-Pribbernow, Inc. 920

Pebble Lake Road, Fergus Falls, MN 56537

4. This certificate is an amendment of Cer-

tificate of Assumed name number 2179111-2

originally filed on January 11, 2007 under the

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name M.J. Ebner Insurance Agency

5. I, the undersigned, certify that I am sign-

ing this document as the person whose sig-

nature is required, or an agent of the per-

son(s) whose signature would be required

who has authorized me to sign this docu-

ment on his/her behalf, or in both capacities.

I further certify that I have completed all re-

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quired fields, and that the information in this

document is true and correct and in compli-

ance with the applicable chapter of Minneso-

ta Statutes. I am subject to penalties of per-

jury as set forth in section 609.48 as if I had

signed this document under oath.

Date: September 9, 2010

____(signed)____

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Kent D. Mattson, Attorney

Print name and Title

Kent D. Mattson, 218-736-5493

Contact Person, Daytime Phone Number

State of Minnesota

Department of State

Filed September 9, 2010

Mark Ritchie

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Secretary of State

103572-1157131 10/2-10/9

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