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I <br /> <br /> · JOAN ANDERSON GROWE <br /> <br /> SECRETARY OF STATE <br /> STATE OF MINNESOTA <br />I 1 <br /> 80 STATE OFFICE BUILDING <br /> ST. PAUL, MINNESOTA 55155 <br /> FOR FURTHER INFORMATION CALL: <br /> Repts/Renewals <br /> UCC <br /> Corporations <br /> Elections <br /> Data Services <br /> Refunds <br /> <br />612/296-9214 <br />612/296-2434 <br />612/296-2803 <br />612/296-2805 <br />612/296-6251 <br />612/296-7976 <br /> <br />I-IA FIC []CN I-lOT DID •NH FIR <br />[]AD []CA []CO []D []M []OR []RA <br /> <br />[]AM []CL []CS []EL []MH []OT []RD <br /> <br />[] Service of Process [] Legal Newspaper [] Auctioneer <br /> <br />[] Other: <br /> <br />[] Print Out [] Statistics [] Labels [] Tape <br /> <br />UCC Filing: []FS []NS []OS []CONT []ASSIGN <br /> <br />[] RI ~ RO ' <br />[]RLP [] RQ <br /> <br />NUMBER <br /> For Office Use Only <br /> <br />I <br />[] TR <br /> <br />· - •VD <br /> <br />[] RN [] TMA [] WD <br /> <br />[] Annual Report [] Active Status <br /> <br />[]AMEND []PR []TERM <br /> <br />Search- lnitiaI Fee: []FSS []NSFSS []TLS []NSTLS <br /> <br />[] Listing [] Photo Copy [] Certified Copy [] Certificate <br /> <br />[] Additional Fee <br /> <br />RUS SER 35,00 <br /> TOTL <br /> <br />RE: <br /> <br />[] Surcharge <br /> <br />F- <br /> <br />RAMSEY LIONS CLUB <br /> <br />...... '-,-'. ,- ........ ...,i CHD< <br /> <br /> MERLE A MEVISSEN <br />IRemitter ~ BOX 771 <br /> RAMSEY MN 55303 <br /> <br /> L <br />~,C ,,0006..5-06 WHITE <br /> OR PINK: Customer <br /> <br />35.0( <br />35,~ <br /> <br />CANARY: Office Routing Copy <br /> Fiscal Operations <br /> <br />[] Exp. Service <br /> <br />GOLDENROD: F~scaJ Ope~alJons <br /> <br />TOTAL FEES <br /> <br />AMOUNT PAID <br /> <br />ADDITIONAL FEE DUE <br />{PLEASE PUT RECEIPT NUMBER LOCATED <br />ATTOP OFTHIS FORM ON ALL YOUR <br />REMI]-FANCES) <br /> <br />REFUND <br />($1.00 OR L~SS WILL NOT BE REFUNDED <br />PURSUANTTO M.S, 16A .49.) <br /> <br />OFFICE REFERENCE NUMBER I DATE FII.,ED <br /> YOU WILL RECEIVE A REFUND CHECK FOR ANY']'HI~'~.R <br /> $1.00 WITHIN A FEWWEEKS FROM THE DEP'E OF FI <br /> <br /> <br />