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COMMONWIALTH OF PINNSYLVANIA
couRr-ii; COMMON PlIAS ----
NOTICE OF APPEAL
FROM
JUDICIAL DIITRler
DISTRICT JUSTICE JUDGMENT
~'f.? /
u,COMMON PLUS No. 9 7 -:..2!ii!it~Ll '---Tr' a "1
NOTICE OF APPEAL
Notice is given that the oppeUant has filed in the abov'! Court of Common Pleas an appeal from lhe judgment rendered by the District Justice on the
dote and in the COle montiooed bolow.
NA.Mf. Of A11'f.UANl
OJ"
I MAG 0I5T NO 011 NAME. Of ~J
, II".), ';, /' { Ir, j' ..J )/'.
SlATE ZPCOOf.
. j j I I 'I ~ I
AOOll(SSOfAl'f'(~1
1\4 '- ,J
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DATI Of Jl..()GN,fNf
. ,
I
IIN M CAY Of rf\jnJ1lJ
I
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fDeftn1.nJ
,III,
Q~NO
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.~__~_ __ ~[N.It,hJlEcrAPPftl~l&~'o.~YORAc.tNT I,' .... II
CV 19 ,v, .. ( ,/ I
lT 19 . -j'" . / "t
Thi. block wal bo ~gned ONLY when th.. nolahon.. required under Po. RC.PJP. No. /I appellant was CLAIMANT (see Pa. HC.P.JP. No.
100a8.
Thi. Notice of Appeal. when received by the Di.triet Ju.tiee. will operate mol 00 1 (6) in action be/ore District Justice, he MUST
SUPERSEDEAS to the judgment r", po"e"ion in ,hi. COle. FILE A COMPLAINT within twenty (20) days atler
filing his NOTICE ot APPEAL.
Stgnature of PrO/;I()llotary 0,- D('ptJr'i~'-'-
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
fThis sDCtion O//orm 10 be used ONLY when appellJnt was DEFENDANT fsee PJ, HCPJP No. 1001(7) in actIon be/Ote District Justice,
IF NOT USED, detach from COllY 0/ notice 01 appeal to be served upon appellee}
PRAECIPE: To Prothonotory
Enter rule upon
,. J,'
.L.....1..-...:.. '.
N,rnt) 01 .1{f'Jt."IIt>( S J
. appdleels), to file a complaint in this appeal
(Common Plea. No. 9 ? -;:;111 FI
) within twenty (20) days after service of rule or suffer entry of judgment of non pro\.
/..... .f/." /.,/.'/' 1...
$q1Jt1J<! ot appelint ()I hIS attomey ()I agcnf
RULE: To
,',
,'0"/(/ J iI, ., ..
N.7ne 01 awc11cei s J ;"
, appelloo(.).
(1) You are notified thot a rule is hereby entered upon you to file 0 complaint in this appeal within twenty 1201 days after the date af
servKe of this rule upon you by personal service or by certified or registered moiL
12) ~ yoo do not iiI. 0 complaint within thi. hme. 0 JUDGMENT Of NON PROS WIll BE ENTERED AGAINST YOU.
13) The dote of ~rvice of this rule if service was by mail is the dote of moiling.
Dote: {Ii.., , , 9
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