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Certificate of Assumed Name (1022)

Certificate of Assumed Name

The filing of an assumed name does not provide a user with exclusive rights to that name. The filing is required for consumer protection in order to enable consumers to be able to identify the true owner of a business.
The exact assumed name under which the business is or will be conducted: Karlstad Dental Clinic.
Principal Place of business: 223 South Main Street, Karlstad, MN 56732
The name and complete street address of all persons conducting business under the above Assumed Name, OR if an entity, provide the legal corporate, LLC, of Limited Partnership name and registered office address: Gracza & Gracza, Inc., 223 South Main Street, Karlstad, MN, 56732.
I, the undersigned, certify that I am signing this document as the person whose signature is required, or as a agent of the person (s) whose signature would be required who has authorized me to sign this document on her/her behalf, or in both capacities. I further certify that I have completed all required fields, and that the information in this document is true and correct and in compliance with the applicable chapter of Minnesota Statutes. I understand that by signing this document I am subject to the penalties of perjury as set forth in  Section 609.48 as if I had signed this document under oath.
/S/  Edward R. Gracza, D.D.S.        9-12-2014
Edward Gracza, DDS, for Gracza & Gracza Inc.
Email Address for Official Notices:
√ Check here to have your email address excluded from requests for bulk data, to the extent allowed by Minnesota law.
Edward Gracza, (Contact Name)  218-436-2944 (Phone Number)

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