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COMMONWEALTH OF Pl::NNSYlVANIA
it/,,:> II/our t'/ .',rllV,,:p ~.-1(1.'},' fit f./r.rr) I~.;I Till^-; 1i-f\J Itl! {),l"-S A~ Ii 11/1'!I"1 UU n(lld~'!1 ()f il/'JlfJ<t{ r;t'I}C!I "fJfJlrc:tt.'f/ tJ,-lJC():,j
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
COUNTY OF.c,_______,_,, _ ______,_,____
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AFFIDAVIT: I I lIJrl1by. ::;'~/'\lt or (lfflrrn t!l<1f I <jt:",'ocl
[J ,j u);)Y r.;~ !rw Nnlir.ll 0' /,pp,.;tI. CJItHrlOfl PIPd~ :1/ 'i:':-i[l Pli. D::;trkl JU:-,tIC(' lltlslqndlt!lj rt:el{'!/l on
(dale (.f !','}(illt:L') --.-----...--------_______.. __~____ DJ :Jl"~ .lii'l: ":t'r<JICC [] by !Urllfred) (rcglst{~red) rn.:"JI1. sender's
recf;ipl atlllCrl(;J Ih~ri~ILJ, ;u;:lli;;T] lilt; <1D;dk\'. "'i".10) "..~__~_.. .______'___'______. on
.-----.---.------.-.~ lCl._ - ..----- ~~; hy p.!r;;()f'dl r,"rVICI! i J by {{";lrr"I~'l1j (ff'cllshnc(1\ rn,Hi !'tm(!pr'" ,,'("-:-Ipt jJ!!achcd hOWIO.
D ,]nJ hirlhur ttlii! I ::;,~rvl'(1 tnl.' rill/'! to Filt' ,I C(ln~f,\:;!I:il 'I, ".U"ljJ,Hl ":P:III'<' .1~lU'.'I: t'ht!(.p of ^ppe<ll uPon !he .lPPf'I!('{!151IowtlOm
rrh~ flu:,! was ilLlrj((:~;::;I.{j un ~.._._-__. 1') '_1 l')y tJ'_;I~,(lndi ;;/.'r'-,lI((> lJ I!y 1't:;erldll.'rJJ (rt'915tered)
milll, ~tmci,-,r'~; receipt i'l!lildll,~ j III_:fl..'10
SWORN (AFFIRMED) ..\ND SUI::lSCnltH.:o Uf::HJHE:: '.1E
THIS ___.._____ D/\'r' O~. ,,__~
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8/f/narwCJ 01 affiant
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($;y( F.I.led in Prothy'. Office 11-12-98 C_'LlAS... 98-6395 Civil Term
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:jJ. Notice II ui- that rho appellant .... filed in ,he above CalK' of Common Plea. an oppoollrom rho judgment rendortd by the District J",tic. on the
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NOTICE 0' APPIAL
fROM
IUllICW _IICI
DISTRICT JUSTICE JUDGMENT
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TNs block W11 be signed ONLY when this notation i. required under Po. R
10088.
TNs Notice of AppoaI. when received by ,he District Justice, will ope<ote o. 0
SUPERSEDEAS 10 rho judgment lor po.se..on in this cas",
Signature of Prot_y or Deputy
If appellant was CLAIMANT (see Pa. R.c'p,J,P, No.
tOOl (6) In action before District Justice, he MUST
FILE A COMPLAINT within twenty (20) days after
filing his NOTfCE of APPEAL.
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PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
.'i:' , (TIlls section oIlonn to be used ONLY when appellant was DEFENDANT (see Pa. R.C.P.J.P. No. 1001(7) in action before District Justice,
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,or?; IF NOT USED, detach from copy 01 noUce of appeal to be served upon appellee).
c';;;.,RAECIPEI To Prothonotary
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')I, RULEI To . --'lee(sJ.
t:~fi.. . Nlm&of.,.,./~s) , ,., : ,.,,.
1~;).:,.::' , ,. (1) ~ou "'" notified that a rule is hereby entered upon you 10 file 0 complaint in this appeal within twenty (20j d(li~'t1.."d;;;';\~f :".Jj;JJ;\'
l)",;;,lO<V1Ce of thIS rule upon you by penonal seryke '" by certified '" regist...d moil, ." i : , . :;~ ..
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":,,., (2) ~ yoU'do not' file a complaint within this time. 0 JUDGMENT Of NON PROS WIll BE ENTERED AGAINST YoO.. " '. ' ": ~. '/'
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Name of _Ioo(S)
) wi'hin twenty (20) days oller service of rule '" suffer entry of judgment of non ~
Enter rule upon
. oppellee(s). 10 file a complaint in this oppoaI
Sig'lat1l9 01 ~ Of his 8nomeyor~,';
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(3) The dote of service of this rule if service was by moil is the dole of moiling.
,Dale:
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S/grlllMl 01_ or _ '
COURT FILE
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(Th/. pfool OI'OfV/C. MUST BE FILED WIT/fIN TEN 1101 DA YS AFTER "'/ng 'II. /lotico 01 "1'1'0", Cllock appllcII"/o bOxos)
COMMONWEALTH OF PENNSVLVI'NtA d
COUNTY OF CW"/\ I;) lV'1"",
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AFFIDAVIT: I hereby swear or affirm Ihatl served _
it'. copy ollhe Notice ~:,"tP~W'mon 1'10<15 No 9'ff'.- (,J9) , upon the DIStrict JustlCO deSignated thorein on
(dato 01 sOfvico) I . ~ by personal SNVICO~ by (cerlllleo) (registered) mail. sender's
rece;~'1)tached hereto. and U~ the appellee, (nomo) _f'l/fJ^f'\:) 1'\.oo,1't-/ oj" ,on
9 . 19~ plI' by personal S~JrvICO 0 by (cerllfled) (registered) mall, sonder's receipt attached hereto.
o and further that I sorved tho Rule to F{,a Compli1tnl accompanYing tt~<1bOve Notice of Appoal upon the appelfee(s) to whom
the Rule was addressed on ---..1! ~.::> . 19f1_ p'9bY per?""1 service f' by (cert~~dl registered)
mail. sender's receipt atlached horl'lo. ~" 2 I 1-
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME/ /J \ / f / "-,..! _._
THIS ..,pA~ DAY OF .~t'M.6.L-v:' 192_ Ll:. /
__ -.'''") ,- ignalu(e of affiant
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Tille 01 official NOTARIAL SEAL
, TeREDA J. DURKHOLDER. NOlary PublIc
,My commiSSion 8l\plr 5 on C..,llllle:., E1a."b&IItnd-~A 19.-
My Ccmmt!l:~:'!.~~ros Fob. 21, 2000
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