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Fill and Sign the Minnesota Department of Labor and Industry Labor Standards Prevailing Wage 443 Lafayette Road North St Dli Mn Form

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Form 253 (08/07) United States Bankruptcy Court _______________ District Of _______________ In re Case No. _________ Debtor* Address: Chapter __________ Last four digits of Social-Security or Individual TaxpayerIdentification (ITIN) No(s).,(if any): Employer Tax-Identification (EIN) No(s).(if any): ORDER FOR RELIEF IN AN INVOLUNTARY CASE On consideration of the petition filed on ________________________________ (date) against the above-named debtor, an order for relief under chapter ____ of the Bankruptcy Code (title 11 of the United States Code) is granted. Date: ________________________ BY THE COURT ___________________________ United States Bankruptcy Judge ____________________________________________________________________________________ * Set forth all names, including trade names, used by the debtor(s) within the last 8 years. For joint debtors, set forth the last four digits of both social-security numbers or individual taxpayer-identification numbers.

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