STATE OF MINNESOTA Supreme

SeptemberCourt
1, 2017
13 Court of Appeals

CASE TITLE: NOTICE, STATEMENT AND CLAIM

In re the Marriage of: OF COSTS AND DISBURSEMENTS
Sandra Sue Grazzini-Rucki INCURRED BY PREVAILING
vs. PARTY
David V. Ruclci
and
County of Dakota

APPELLATE COURT Prevailing Party:

CASE NUMBER: A16-1970 Appellant/Relator El Respondent

COSTS AND DISBURSEMENTS

Statutory Costs $300.00 Printing Appellant Brief and $

Addendum
Clerk of Appellate Courts
Filing Fee $ Printing Respondent Brief $499.86

Transcript of Case Used

Used for Appeal to
Appellate Courts Only $ Other (specify) $

TOTAL: $799.86

The above bill of Costs and Disbursements taxed and allowed ______________
Dated

AnnMarie S. ONeill_____________ By _______________________________

Clerk of Appellate Courts Assistant Clerk

STATE OF MINNESOTA
COUNTY OF HENNEPIN

Being duly sworn, I the attorney for the prevailing party in the above-entitled action, state
that the above is a true and correct statements of costs incurred and disbursements made
by the prevailing party in that action.

1
 Respectfully,
/s
' /
v
Dated: T
ELLIOTT LAW OFFICES, P.A.
LisaM. Elliott, #201923
2409 West 66th Street
Minneapolis, MN 55423
lisa@elliottlaw.net
Attorney for Respondent
David V. Rucki

I declare under penalty of perjury that

everything stated in this document
is true and correct.

Dated:

Rita L. Anderson, Notary Public