UNITED STATES BANKRUPTCY COURT DISTRICT OF MINNESOTA In re: Case No. BKY _______________________
____________________________________, Debtor(s)
Chapter 11 Case
REPORT OF BALLOT TABULATION Class___________ Accepting Rejecting Percent Accepting Class___________ Accepting Rejecting Percent Accepting Class___________ Accepting Rejecting Percent Accepting Class___________ Accepting Rejecting Percent Accepting #_______ #_______ _____% #_______ #_______ _____% #_______ #_______ _____% #_______ #_______ _____% $_____________ $_____________ _____% $_____________ $_____________ _____% $_____________ $_____________ _____% $_____________ $_____________ _____%
We certify under penalty of perjury that we have examined the ballots in this case and the report above is an accurate summary of those ballots to the best of our knowledge, information or belief. Executed on:__________________________ Signed: ______________________________ Attorney for Debtor(s) Clerk's Form 19; 10/15/91; 07/07/97; Local Form 3020-2; Local Rule 3020-2. Signed:_____________________________ Attorney for Creditors' Committee