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No Date Form 104 Cert of Representation & Parties FORM 104 CERTIFICATE OF REPRESENTATION AND PARTIES State of Minnesota District Court COUNTY Wright JUDICIAL DISTRICT Tenth CASE NO. CERTIFICATION OF REPRESENTATION AND PARTIES **(ONL Y THE INITIAL FILING LA WYERlP ARTY NEEDS TO COMPLETE THIS FORM)** Date Case Filed: Gold Key Development, Inc. vs. City of Albertville This certificate must be filed pursuant to Rule 104 of the General Rules of Practice for the District Courts, which state: "A party filing a civil case shall, at the time of filing, notify the court administrator in writing of the name, address, and telephone number of all counsel and unrepresented parties, if known (see form 104 appended to these rules.) If that information is not then known to the filing party, it shall be provided to the court administrator in writing by the filing party within seven days of learning it. Any party impleading additional parties shall provide the same information to the court administrator. The court administrator shall, upon receipt of the completed certificate, notify all pmties or their lawyers, if represented by counsel, of the date of filing the action and the file number assigned." LIST ALL LA WYERSIPRO SE PARTIES INVOLVED IN THIS CASE. LA WYER FOR PLAINTIFF LAWYER FOR DEFENDANT (if not known, name party and address) Gold Key Development, Inc. Name of Party City of Albertville Name of Party Cindi S. Matt Atty Name (Not firm name) Atty Name (Not film name) Johnson, Larson, Peterson & Matt, P.A. Address Address 908 Commercial Drive Buffalo, MN 55313 (763) 682-4550 Phone Number 5975 Main Avenue N.E. Albertville, MN 55301 Phone Number 269359 MN Atty ID No. MN Atty ID No.