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IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF DELAWARE In re: Mervyn's Holdings, LLC., et al., Debtors.

) ) ) ) ) Chapter 11 Case No. 08-11586 (KG) (Jointly Administered)

FORM OF ADMINISTRATIVE CLAIM (Form used for claims that arose on or after November 30, 2008 and prior to April 30, 2009)

1. 2.

Name of Claimant: DDR MDT MV Carson City LLC Nature and description of goods and services provided to the Debtor(s) post petition: Unpaid rent and related charges due under a certain non-residential real property lease for premises located at Eagle Station, Carson City, NV

3.

Amount of claim based upon goods and services provided to the Debtor(s) post petition: $2,895.00

4.

Documentation supporting the claim will be provided upon request.

Dated: July 2, 2009 KELLEY DRYE & WARREN LLP By: /s/ Robert L. LeHane Robert R. LeHane (RL 9422) 101 Park Avenue New York, New York 10178 Tel: (212) 808-7800 Fax: (212) 808-7897 Email: rlehane@kelleydrye.com

Attorneys for DDR MDT MV Carson City LLC

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0811586090702000000000016

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EXHIBIT A

2008 Reconciliations

$2,895.00

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