Summons and Complaint (Small Claims)

STATE OF WISCONSIN CIRCUIT COURT Outagamie COUNTY Summons and Complaint (Small Claims) Case No. 2026SC000155 Claim for money ($10,000 or less) 31001 Plaintiff: Oral & Maxillofacial Surgery Fox Cities, S.C. 5395 W Michaels Drive, Appleton, WI 54913 To: Defendant(s): Andrew Lembcke 336 Chute St. Apt 101, Menasha, WI 54952 If you require reasonable accommodations due to a disability to participate in the court process, please call prior to the scheduled court date. Please note that the court does not provide transportation. SUMMONS To the Defendant(s): You are being sued as described on the attached complaint. If you wish to dispute this matter: You must appear at the time and place stated. OR You must file a written answer and provide a copy to the plaintiff or plaintiff's attorney on or before the date and time states. If you do not appear or answer, the plaintiff may win this case and a judgment entered for what the plaintiff is asking. When to Appear/File an Answer Date: February 9, 2026 Time: 9:30 am Place to Appear/File an Answer Court Room B, Government Center, 320 S Walnut St., Appleton, WI 54911 Date Summons Issued January 14, 2026 DATE SIGNED: January 14, 2026 Electronically signed by Barb Bocik, Clerk of Court WNAXLP January 28 2026 LWIX0447737