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09-28-15-R
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09-28-15-R
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10/1/2015 10:50:16 AM
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ACCESS TO CASE RECORDS OF THE MINNESOTA JUDICIAL BRANCH ►►►►►►►►►►►►►►►► GOVERNMENT ACCESS <br /> | Minnesota Government Access (MGA) | <br /> <br />5. Signatures <br />This Request Form is submitted in connection with and made part of the most recent Master Subscriber Agreement executed by the <br />Applicant and the State. An individual authorized to sign on behalf of and bind the government agency in written agreements signs <br />under the Applicant signature block below. <br />APPLICANT THE STATE <br />By: By: <br /> (signature) (signature) <br />Date: Date: <br />Name: Name: <br /> (typed) (typed) <br />Title: Title: <br />Office: Office: <br /> <br />6. Submission <br />This Request Form and all required attachments should be emailed to GSAreceiving@sp.courts.state.mn.us. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Revised October 2, 2014 (ITD_SP_0371g) Page 2 of 2
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