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CCW"""'tQI/l\lLTH 0' PENNSYLVANIA
COUll 0' COMMON PLEAS
NOTICE OF APPEAL
FROM
JUDICIAL DISTRICT
DISTRICT JUSTICE JUDGMENT
COMMON PLEAS No. Q {jtJO- 14
NOTICE OF APPEAL 3- 1'-/'" () 0
Notice is 9,iven that the appellant has filed in the above Caurt af Camman Pleas an appeal fram the judgment rendered by the District Justice on the
date and in the case menlioned below.
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D4.TE OF JlI)GME IN THE CASE OF (PIBlnti )
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~ NO OR NAME afD.J.
-3 -03
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ZP CODE
13
CV 19~ -'CD
LT 19
This blac:k will be ~gned ONLY when this natation is required under Po. R.C.P J.P. Na.
1008B.
This Notice of Appeal, when received by the District Justice, will operate os a
SUPERSJ:DEAS '" the judgment for passessian in this case.
Signature af Prothonotary or Deputy
L
/lant was CLAIM NT (see Pa, R.GP.JP. No,
1001 (6) in action before District Justice, he MUST
FILE A COMPLAINT within twenty (20) days after
filing his NOTICE of APPEAL
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This sect!:", of fo!m to be used ONLY when appellant was DEFENDANT (see Pa, HCP.JP, No. 1001(7) in action before District Justice,
IF NOT USED, detilCh from copy of notice of appeal to be served upon appellee).
PRAECIPE: Ta Prothonotary
Enter rule upan
Name of appeJlee(s)
, appellee(s), to. file a complaint in this appeal
(Common Pleas No.
) within twenty (20) days after service af rule or suffer entry af judgment af non pros.
Signature of appeHant or his attorney or agent
RULE: T"
Name of appel/f>e(s)
, appellee(s).
(11 Yau artl natified that a rule is hereby entered upan you 10 file a camplaint in this appeal within twenty (20) days after the date af
service af this rule upan yau by personal service or by certified or registered maiL
(2111 you da not file a complaint within this time, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOu.
(31 The date af service af this rule if service was by mail is the date af maili"!l-
Date:
,19_.
Signature of ProthonoIary or Deputy
N:)PC 312-84
COURT FILE TO BE FILED WITH PROTHONOTARY
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PROOF OF SERVICE OF NOTICE OF APPE,i!\l AND RULE TO FILE COMPLAINT
(This proof of service MUST BE FILED WITHIN TEN (10) DA YS AfTER filing the notice of appeal. Check applicable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
:..
AFFIDAVIT: I hereby swear or affirm that I served ~"
o a copy of the Notice of Appeal, Common Pleas No, , upon the District Justice designated therein on
,
(date of service) " , 0 by personal service 0 by (certified) (registered) mail, sender's
receipt attached hereto, and upon the appellee, (name) , on
, 19_ 0 by personal service 0 by (certified) (registered) mail, sender's receipt attached hereto.
and turther that I served the Rule to Fllea Complaint accompanying the above Notice of Appeal upon the appellee(s) to whom
the Rule was addressed on , 19~ 0 by personal service 0 by (certified) (registered)
maii, sender's receipt attached hereto.
SWORN (AFFIRMED) AND SUBSCRiBED BEFORE ME
THIS
DAY OF
,19_
Signature of official before whom affidavit was made
Titfe,of official
My commission expires on
, 1 "----
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COMMONWEALTH OF PENNSYL VANIA
COUNTY OF: CUMBERLAND
09-3-03
NOTICE OF JUDGMENTITRANSCRIPT
CIVIL CASE .
PLAINTIFF: NAME and ADDRESS
IHERMAN CHIROPRACTIC CENTER OF CARL"")
1 VALLEY ST.
SUITE 106
~LISLE, PA 17013 ~
VS.
DEFENDANT; NAME and ADDRESS
'BIXLER, HELEN
661 CONODOGUINET AVE.
CARLISLE, PA 17013
L
Docket No,: CV-0000005-00
Date Filed: 1/07/00
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Mag. Dist. No.:
OJ Name: Hon.
SUSAN K. DAY
Add",,, 229 MILL STREET, BOX 167
MT. HOLLY SPRINGS, PA
T.",hO" (717) 486-7672 17065
HERMAN CHIROPRACTIC CENTER OF CARL.
1 VALLEY ST.
SUITE 106
CARLISLE, PA 17013
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THIS IS TO NOTIFY YOU TtlAT:
Judgment:
[iJ Judgment was entered for:
"
. ._'.JJ-~
. 'F'dRrlitl'ENJi"AlllT ';r-
,
'., .".
(Name)
RTYT.RR H'RT.RI\I
"
[iJ Judgment was entered against: (Name) H'RRMIIN CHTROPRACTTCCEN'I'RR OF C
In the amount of $
nn on:
(Date of Judgment)
?/??/nn
.
o Defendants are jointly and severally liable,
o Damages will be assessed on:
o This case dismissed without prejudice,
(Date & Time)
Levy is stayed for
days or 0 generally stayed,
Amountof Judgment $ .00
Judgment Costs $ .00
Interest on Judgment $ .00
Attorney Fees $ .00
Total $ .00
Post Judgment Credits $
Post Judgment Costs $
------------
------------
Certified Judgment Total $
O Amount of Judgment Subject to
Attachment/Act 5 of 1996 $
o
o
[)ate:
LTime:
Objection to levy has been filed and hearing will be held:
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Place:
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ANY PARTY HAS THE RIGHT TO PP AL WITHIN 30 DAYS AFTER THE ENTRY OF JUDGMENT BY FlUNG A NOTICE
OF APPEAL WITH THE PROTH NOTA ICLERK OF THE COURT OMMON PLEAS, CIVIL DIVISION. YOU
MUST INCLUDE A COpy OF IS NOTI OF JUDGMENTIif A I T FORM WITH YOUR NOTICE OF APPEAL.
i/;#-t5D Date
i' certify that this is a ue and correct
~lzJJ~15O. Date
My commission expo es first Monday of January,
Aope 315-99
. District Justice
e ro eedings containing the judgment.
, District Justice
SEAL
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COMMONWIEALTH OF PENNSYLVANIA
COURI O' C_MONPLEAs
NOTICE OF A!>>PEAL
FROM
JUDICIAL DISTRICT
DISTRICT JUSTICE JUDGMENT
COMMOtl PLEAS N.. C;;OOO~ 11../10 CWiiTR"/~
NOTICE OF APPEAL 3--1'1 - () 0
Notice is given that the appellant has liled in the above Court 01 Comman Pleas an appeal Iram the judgment rendered by the District Justice on the
tie and irl the case mentioned below.
~ ~ ~LLANr
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ADDftESS OF APPELLANT
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DA.Tl OF Jl.DGME
a/ad:
CLAIM NO.
CV 1\1
LT 19
This black will be signed ONLY when this natation is required under Pa.R.C.P.J.P. No.
10088. .'
This Nol'ice 01 Appeal, when received by the District Justice,' will 'lP'""1e as a
SUPERSE,DEAS ta the judgment for possession in this case.
ZIP COOf
17DJ3
(Defendant)
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/lantWaS CLAIMANT (seePa. R.GP.JP. No.
1001 (6) in'lc!ion before District ~~tice, he MUST
FILE A COMPLAINT within twenly (20) days after
filing his NOTICE of APPEAL.
ULE TO FILE COMPLAINT AND'RUL.E .TO FILE
was DEFENDANT (see Pa. R.CP.JP. No. 1001 (7) in action before District Justice,
be served upon appellee),
Enter rule upon
(Camman Pleas No.
Name 01 appeI/eefs)
) within twenty (20) days after service al rule or sulfer entry 01 judgment 01 non pros.
,appellee(s), ta lile a camplaint in this appeal
Signature at cappellant 'or" his aftt!tneY or agent
. . .
RULE: Te>
Name 01 appel/f>e(s)
, appellee(s).
- /
(11 You are natified that a rule is hereby entered upan you ta file a complaint in this appeal within twenty (20) dQysaile/t~cd<lte ai'
service of this rule upon you by personal service or by certified or registered maiL
(2:111 you da nat file a complaint within this lime, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU.
(3) The date 01 service al this rule il service was by mail is the dale 01 mailing.
DaIe:_
.19_,
Signafute 01 Prolhooolaty 01 DepuIy
.
AOPC 312-64
COURTFt-L~; .
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PROOF OF SERVICE OF NOTICE OF APPE.AL AND RULE TO FilE COMPLAINT
(This prool 01 service MUST BE FILED WITHIN TEN (10) DA YS AFTER filing the notice 01 appeal, Check applicable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF MfWlrtil
;ss
AFFIDA "IT: I hereby swear or affirm that I served
''911, a copy of the Notice of Appeal, Common Pleas 1110, Ji (}tti" i '/-re) , upon the District Justice designated therem on
. ' (date ot service) l?1a:n1f? It; , Ztl:JC- __, ,by/erso~al S~rVICEl El by ~iii~(reglstered) mail, sender's
'receipt attached hereto, and upon the appellee, (name) ___1/r;r.t:l...61 )(1-'(' ,on
(.l'?'2f'CfJ It, ,'~ 2(','1'':' 0 by personal servicefll by (c;rtiii;~;hregistered) mail. sender's receipt attached hereto.
o and turther that I served the Rule to File a Complaint accompanYi'niiih'~ above Notice of Appeal upon the appellee(s) to whom
the Rule was addressed on _, 19~ 0 by "",rS<li'iai servicer;;l'>by (certified) (registered)
j - -' ,''-',.,
mei" sender's receipt attached hereto, , .,-' (. '( "
SWORN (AFFIRMED) AND SUBSCRiBED BEFORE ME . 'j' , '
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THIS JI DAY OF 31L1l.Y'q ,-m;';lOOO
'il4/(, (,~
of am ant
Wed'\\\^, dtHic.
ritle of officra!
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Signature of official belore whom 8ffidavit w.w made
My commission expires on
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NOTARIAL SEAt.
LINDA E, EAKLE, Notary p.,,,,,"
Doro (If ChambcrsbuJ'g, Fran!:Ll C'J.
My Commission Expires Octobe.' 2, 2000
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