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STATE OF MINNESOTA DISTRICT COURT THIRD JUDICIAL DISTRICT COUNTY OF OLMSTED CRIMINAL DIVISION State of Minnesota Court File No. vs. RESTITUTION AFFIDAVIT incurred or the following property was damaged stolen or destroyed by the above-named defendant s. Estimate of Economic Loss Cost to date Out of Pocket Cost Only Loss of Income from Work Property loss or damage Doctor/hospital bills/counseling Other Please explain INSURANCE CLAIM SUBMITTED YES Amount covered by Insurance Insurance Company...

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The third judicial district refers to a specific area or region where courts have jurisdiction over certain legal matters.

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Individuals or entities who fall under the jurisdiction of the third judicial district and are required by law to submit certain legal documents.

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