AFFIDAVIT OF COURSE COMPLETION Iowa On-Demand CLE Course Title: Recent Minnesota Decisions Iowa Activity Number 158509 I certify under penalty of perjury that I completed ____ hours of the Continuing Legal Education program "Recent Minnesota Decisions" offered by Richard Clem Continuing Legal Education. During the course of the audio program, I heard the following codes given: Hour 1 (Recent Minnesota Decisions, April-May 2014) A 1 __ __ A 2 __ __ A 3 __ __ A 4 __ __ Hour 2 (Recent Minnesota Decisions, May-June 2014) C 1 __ __ C 2 __ __ C 3 __ __ C 4 __ __ Hour 3 (Recent Minnesota Decisions, July 2014) D 1 __ __ D 2 __ __ D 3 __ __ D 4 __ __ I certify under penalty of perjury and pursuant to the laws of the state of Iowa that the preceding is true and correct. Date: ______________ Signature: ________________________________ To sign this affidavit, you may type your name above next to the word "signature". If you prefer, you may print this page, sign it traditionally, and e-mail or mail me a copy. If signing traditionally, please print your name legibly as well. Upon completion, please submit this form to Richard Clem Continuing Legal Education by e-mail or U.S. Mail. Do NOT submit this form to the Iowa CLE Commission. Return form to: Richard P. Clem PO Box 14957 Minneapolis, MN 55414 clem.law@usa.net