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NOTICE OF APPEAL
OF PENNSYLVANIA
JUDICIAL DISTRICT
FROM
DISTRICT JUSTICE JUDGMENT
COMMON PLEAS Ns y' -
Cyr
NOTICE OF APPEAL
Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment tendered by the District Justice on the
doh and in the case mentioned below
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This block will be $igned ONLY when this rotation is required under Pa. RiCPJP. No if appellant was CLAIMANT (see Pa. R.C.P.J.P. No.
1008111001(6) in action before District Justice, he MUST
This Notice of Appel when received by the District Justice, will operate as a FILE (COMPLAINT within twenty (20) days after
SUPERSEDEAS to the judgnent for Possession in this case
filing his NOTICE of APPEAL.
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of form to be used ONLY when appellant was DEFENDANT (see Pa. R.GP.J.P. No. 1001(7) in action before District Justice.
IF NOT USED, detach from copy of notice of appeal to be served upon appellee).
PRAECIPEa To Pro+ y?Y
tale 14?Ir?n c)
appellee(s), to file a complaint in this appeal
Enter upon Name of appellee(s)
(Comnan Pleas No V I L, ) within twenty (20) days after (p?serrvice of rule or suffer entry of judgment of nor Pros,
i" QU-Ai •c Q11,:AU?
sRea+e d aFPeRert a to attorney a us-
RULEt To t? oPpei.,.
Nerve d s)
(1) You an, notified that a rule is hereby entered upon you to file a complaint in this appeal within twenty (20) days after the date of
service of this rule upon you by personal service or by certified w registered mail
(2) If you do not file a complaint within this tune, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU.
(3) The date of service of this rule if service was by mail is the dare of nailing
a Dsprp
Doh:1?/d..--?-LJ- 19-Q 7 1-?.
AOPC312-M COURT FILE TO BE FILED WITH PROTHONOTARY
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proof of service MUST HE FILED WITHIN TFN (f0l DAYS AFTER filing the notice of appeal. Chock applicable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
Bf
AFFIDAVIT: I hereby swear or affirm that I served
? a copy of the Notice of Appeal, Common Pleas No.
upon the District Justice designated therein on
(date of service) . ? by personal service ? by (certified) (registered) mail, senders
receipt attached hereto, and upon the appellee, (name)
, on
19_0 by personal service O by (certified) (registered) mail, sender's receipt attached hereto.
? and further that l served the Rule to File a Complaint accompanying the above Notice of Appeal upon theappellee(s)towhom
the Rule was addressed on 19_, ? by personal service ? by (certified) (registered)
mail, sender's receipt attached hereto.
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS DAY OF 19_
Signature of afgant
Signature or oNio-n? oemre nm,, u11,,Ivrt was mane
Title or official --
MY commission expires' un
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!y k)COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: CUMBERLAND
09-3-04
Dl Name: Hon.
THOMAS A- PLACEY
°0°"'* 104 S. SPORTING HILL RD.
MECHANICSBURG, PA
T64hone: (717 ) 761-8230 17055
99 s?S9 Civil.
NOTICE OF JUDGMENT/TRANSCRIPT
PLAINTIFF: CIVIL MCASE
ss i
FBLANTON, RICHARD 1
8 W. SCHOOLSIDE DR.
MECHANICSBURG, PA 17055
DEFENDANT: VS. J
NAME and ADDRESS
r HIMP, ROXANNE -I
5211 E. TRINDLE RD. APT.# 1
MECHANICSBURG, PA 17055
ROXAME SHIMP L J
5211 E. TRINDLB RD. APT.# 1 DocketNo.: CV-0000283-99
MECHANICSBURG, PA 17055 Date Filed: 7/23/99
THIS IS TO NOTIFY YOU THAT:
Judgment: ?tauLr .mn?rartcw,r ar,r><
® Judgment was entered for: (Name)
® Judgment was entered against: (Name) %zRTMP. RAXAIjkg
in the amount of $ --14n -nn on: (Dat4?of Judgment) QQ
D Defendants are jointly and severally liable.
_c,(Date & Time)
Damages will be assessed on:
b
This case dismissed without prejudice.
Amount of Judgment Subject to
AttachmentlAct 5 of 1996 $_
El Levy is stayed for days or ? generally stayed.
0 Objection to levy has been filed and hearing will be held:
Amount of Judgment
Judgment Costs
Interest on Judgment
Attorney Fees
Total
Post Judgment Credits
Post Judgment Costs
Certified Judgment Total
Date: Place:
Time:
ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS AFTER THE ENTRY OF JUDGMENTSY FILING A NOTICE
OF APPEAL WITH THE PROTHONO ARY/CLERK OF THE COURT OF COMMON PLEAS, OIYII DIV46N.?YOu
MUST INCLUDE A COP TICE OF JUDG TRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL.
Date
I certify that this is a true and cc r cf copy of
- ^ Date
, District Justice
containing the judgment.
, District Justice
My commission expires first Monday of January
AOPC 315.99
2004 SEAL
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