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IN THE IOWA DISTRICT COURT FOR SAC COUNTY

SMALL CLAIMS DIVISION


L. F. NOLL, INC.
705 DOUGLAS STREET, SUITE 344
SIOUX CITY IA 51101
PLAINTIFF
VS
ANGELA SANDERS
225S11THST
SAC CITY IA 50583
DUSTIN J. SANDERS
225S11THST
SAC CITY IA 50583
DEFENDANT(S)
ORIGINAL NOTICE AND PETITION
FOR A MONEY JUDGMENT
NO.
To Defendant(s):
1. You are notified that the above-named Plaintiff demands of you the amount of $773.82. This claim is
based on the value of goods and/or services supplied by the following persons or businesses in the amounts
indicated below. Said claims are assigned to Plaintiff.
CREDITOR
LOR1NG HOSPITAL
S1OUXLAND UROLOGY ASSOCIATES
TOTAL
PRINCIPAL
$733.64
$ 25.00
$758.64
PRE-FILING INTEREST
$14.52
$_ .66
$15.18
2. Judgment may be entered against you unless you file an Appearance and Answer within 20 days of the
service of the Original Notice upon you. Judgment may include the amount requested plus interest and court
costs
3. You must electronically file the Appearance and Answer using the Iowa Judicial Branch Electronic
Document Management System (EDMS) at https://www.iowacourts.state.ia.us/EFile. unless you obtain from
the court an exemption from electronic filing requirements.
4. If your Appearance and Answer is filed within 20 days and you deny the claim, you will receive
electronic notification through EDMS of the place and time of the hearing on this matter.
5. If you electronically file, EDMS will serve a copy of the Appearance and Answer on Plaintiff(s) or on the
attorney(s) for Plaintiff(s). The Notice of Electronic Filing will indicate if Plaintiff(s) is (are) exempt from
electronic filing, and if you must mail a copy of your Appearance and Answer to Plaintiff(s).
6. You must also notify the clerk's office of any address change.
E-FILED 2014 MAY 12 3:34 PM SAC - CLERK OF DISTRICT COURT
/OfSSICAR. NOLLAT0008873
)5 Douglas St., Ste 502
Sioux City IA 51101
Phone (712) 224-2675
Fax (712) 252-4497
irn@decklaw.net
ATTORNEY FOR PLAINTIFF
0002837481
MAY 6,2014
E-FILED 2014 MAY 12 3:34 PM SAC - CLERK OF DISTRICT COURT