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