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PHOOf OF SEHVICE or N01IC[ or APPEAL AND HULE TO FILE COMPLAINT
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_'MCIIHl<NIYlVAHIA
, Of COMMN ;ii'A,-'-'---
NOTICE 0' APPEAL
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DISTRICT JUSTICE JUDGMENT
COMMONPLlAIN.. '/'6'- ')<{flr!" , f'-u~J
NOTICE OF APPEAL
Nolle. I. gIwn thot tho ~, he. M.d in 'ho oboYe Cou<1 of Common Plea. on appeal from tho judgment ronderod by tho Di.trict Ju.tic. on tho
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IIgnod 0Nl. Y wI10n tf1l. nolotion i. required under Po. RJ::P JP. No.
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10011.
ThII Notice 01 Appeal, wI10n rwcei..d by the Di.'rict Ju.tice, will op"",te 0' 0
IllJPlRsmeAS 10 tho judo-nt for po....sion in this co.e.
If appel/anI was CLAfMANT (see Pa. R,C.P.J.P, No,
1001 (61 In action before Dislricl Juslice, he MUST
FILE A COMPLAINT within lwenty (201 days slier
filing his NOTICE of APPEAL.
SllI""turo 01 Prothonolary or Deputy
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(Thl8lOCllon 0/ form 10 bo usod ONLY when appellant was DEFENDANT (see Pa. R.C.P,JP. No. 1001(71 in action bofore Dislticl Juslice.
IF NOT USED, cIottJCh from c",y of notice of appeaf to bo served upon appellee).
'IAICIPlt To Prothonotary
Entof rul. upon 57r V t
(Common PIeos No.
()e> ~-./, ,
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(tc)US!-f
Name 01 aweflee(s)
i'; It; ! ) within twenty (20) day, ofter .ervice~try of, judgment.,o f non ""'~
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SJptIIo 01 sppellent ex his Brtomey Of agent
, appellee(.), to file a complaint in this:appeQI
IULlt To
S'I1:VE:' ~ CJU S 1+
Nwoo at """'/fJe(S}
, appellee{,).
(1) Vou orw noWIled thet 0 rule is hereby entered upon you to file 0 comploint in thi, oppeal within twenty (20) day, after the dole of
5Ir,k. of 'hi. rule upon you by, p""onol service or by certilled or regi,tered maiL
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(21 H you 119;,01\111'; a cOmPkslnt wilhin 'hi. time, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU.
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(3) T'" IjatW ef ....vk. of 'hi. ru!e1f,er,ic. wo. by mail i. the dole of mailing
Date: O&;'~11"""19~~ "-<
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COURT fILE
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PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(ThiS proof 01 son'lcv MUST BE FILEt) WI THIN Tf::N I 101 VA YS AfTtB f'U"9 fhf) flot/CO of apptJill. Check applicatJI9 boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF_--.C~"("~LA/JD____
AFFIDAVIT: I hereby swear or alflfm 1t,"11 served
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~ a copy of the Notice of Appeal. Common Picas No. !8 . 5'~~~s..I~~ . upon the District Justice di:signated therein on
lei.l.o/.o,v,co/ IDo 23- f {j' _ . CJ by personal 5<'rVlce Ili! by ~lr9H1510'e"j mail. sender's
receipt attaChed hereto. and upon the ilDPcllee. (llama) __-Lt"t"Vt:." ['tClLl.S H , on
to. '1 J-qp . 19~ 0 by po)rsonill SNv,ce iXI by @rtlfjc~ (IQgjoet."n~) mati, sender's receipt attached hereto.
~ and further that I served the Rule 10 Filea Complaint accompanying t~leab(Jve Noticeof Appeal upon the appellee{s) towhonl
the Rule was addressed on _-1E-.:..~"'30 , 19...9..9_ 0 by porsonal service 5 by (([rtpie]) (.e~iDIElrBg)
mail, senders receIpt attached helP!o
SWORN (AFFIRMED) AND SU~S~~ BEFORE M~
THIS ~DAYO~_, 19_'1K
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, ~n.ttJ.fe ~' offlcldl ~f')f(J wflom nlhdtlvlt was mil
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!'fWo c4 oflk I, SONORA l. NEFF, NOlAR
lt~'\ CAIlUSLE IlOIlO. CUMBERLAND COUNTY
y*%MYt~..;, Vl'lIIl11l11lSSIQ~ FXPlRESNDVEIIBER lS.l~o
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