Certificate Of Service And Filing Of Itemized List {115C}

FORM 115C. CERTIFICATE OF SERVICE AND FILING OF ITEMIZED LIST STATE OF MINNESOTA IN COURT OF APPEALS CASE TITLE: Relator, vs. CERTIFICATE OF SERVICE AND FILING OF ITEMIZED LIST Court of Appeals Respondent, APPELLATE COURT CASE NUMBER: (Agency or Body), Respondent. (AGENCY OR BODY) NUMBER: TO: Clerk of the Appellate Courts Minnesota Judicial Center St. Paul, MN 55155 A copy of the itemized list of the contents of the record is attached to this certificate, was served on each separately-represented party to this proceeding, and is transmitted to the clerk of appellate courts in accordance with Rules 115.04, subdivision 3, and 111.01. Service was made as follows: Party Name Clerk of Appellate Courts Address Minnesota Judicial Center St. Paul, MN 55155 Date Served Method of Service etc. DATED: ___________________________ SIGNATURE ADDRESS AND TELEPHONE NUMBER cc: All Counsel of Record (Rule 115.04, subd. 3, requires the service and filing of the itemized list of the contents of the record as specified in Rule 111.01 to take place within 30 days after service of the petition for writ of certiorari or 14 days after delivery of a transcript, whichever is later. This notice requires service and filing of the itemized list of the record; the actual record is to be retained until the clerk of appellate courts requests that it be transmitted to the court. See Rule 115.04, subd. 5.) American LegalNet, Inc. www.FormsWorkFlow.com