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Certificate of Assumed Name - Avera Medical Group Optometry Worthington

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CERTIFICATE OF ASSUMED NAME

STATE OF MINNESOTA

Pursuant to Chapter 333, Minnesota Statutes; the undersigned, who is or will be conducting or transacting a commercial business in the State of Minnesota under an assumed name, hereby certifies:

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1. The exact assumed name under which the business is or will be conducted: Avera Medical Group Optometry Worthington

2. The address of the principal place of business is: 702 10th Street, Worthington, MN 56187

3. The name and street address of all persons conducting business under the above assumed name is: Avera Marshall, 300 S. Bruce Street, Marshall, MN 56258

4. I certify that I am authorized to sign this certificate and I further understand that I am subject to the penalties of perjury as set forth in Minnesota Statutes section 609.48 as if I had signed this certificate under oath.

SIGNED: Mary Maertens, President & CEO

Dated: 12/16/13

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