PUBLISH
(January 13, 14,
2013)
OFFICE OF THE
MINNESOTA SECRE-
TARY OF STATE
Certificate of As-
sumed Name
Minnesota Statutes,
Chapter 333
The filing of an as-
sumed name does not
provide a user with ex-
clusive rights to tht
name. The filing is re-
quired for consumer
protection in order to
enable customers to
be able to identify the
true owner of a busi-
ness.
ASSUMED NAME:
Lori J Mickelson
Agency
PRINCIPAL PLACE
OF BUSINESS:
1401 S Broadway St
New Ulm MN 56073
USA
NAMEHOLDER(S):
Name:
Lori J Opitz
Address:
899 Center St Tracy
MN 56175
If you submit an at-
tachment, it will be in-
corporated into this do-
cument. If the attach-
ment conflicts with the
information specifically
set forth in this docu-
ment, this document
supersedes the data
referenced in the at-
tachment.
By typing my name,
I, the undersigned,
certify that I am sign-
ing this document as
the person whose
signature is
required,or as agent
of the person(s)
whose signature
would be required
who has authorized
me to sign this do-
cument on
his/herbehalf, or in
both capacities. I
further certify that I
have completed all
required fields, and
that the information
in thisdocument is
true and correct and
in compliance with
the applicable
chapter of Minnesota
Statutes. I under-
stand that bysigning
this document I am
subject to the penal-
ties of perjury as set
forth in Section
609.48 as if I had
signed thisdocument
under oath.
SIGNED BY: Lori Op-
itz
MAILING ADDRESS:
Po Box 815 New Ulm
MN 56073
EMAIL FOR OFFI-
CIAL NOTICES:

