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Published July 26, 2012, 12:00 AM

12SC893 Croixview Family Chiropractic vs. Derek Field

Legal Notice

Legal Notice

STATE OF WISCONSIN,

CIRCUIT COURT

ST. CROIX COUNTY

SUMMONS AND COMPLAINT

SMALL CLAIMS

Case No. 12SC893

Claim for money ($10,000 or less) 31001

CROIXVIEW FAMILY

CHIROPRACTIC LLC

113 2nd Street

Hudson, WI 54016

Plaintiff,

vs.

Derek Field

660 Monette

New Richmond, WI 54017

Defendant (s).

SUMMONS

To the Defendant(s):

You are being sued as described below. If you wish to dispute this matter:

o4 You must appear at the time and place stated.

AND/OR

o You must file a written answer and provide a copy to the plaintiff or plaintiff's attorney on or before the date and time stated.

If you do not appear or answer, the plaintiff may win this case and a judgment entered for what the plaintiff is asking.

When to Appear

Date: 8/7/2012

Time: 1:30 p.m.

Place to Appear:

St. Croix County Govt. Center

1101 Carmichael Rd

Hudson, WI 54016

Plaintiff’s Demand:

The plaintiff states the following claim against the defendant(s):

1. Plaintiff demands judgment for: Money $718.00

Plus interests, costs, attorney fees, if any, and such other relief as the court deems proper.

2. Brief statement of dates and facts: We have not received payment for his chiropractic care plan since May 4, 2009. His balance is now $718.

Lori Meyer

52L

WNAXLP

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