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COMMONWEALTH Or PENNSYLVANIA
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000fiT OF COMMONI'LGAS I
OF C 413ERLAM COUNTY
JUDICIAL DISTRICT
NOTICE OF APPEAL
I-ROit1 //-.d- R
DISTRICT JUSTICE JUDGMENT
COMMON I'LEAS No. i
NOTICE OF APPEAL
Notice Is Riven that the appellant has Ided it the above Cuult of Gnnnu;n 1'Iras an eppc:d flown Ili,! pukpici t wridored by rho District Justice
nn the date and in the case mmttioned below. l
New Cumberland Diner - _ -.--r_ - -------I_(. 09 CG?.T --
10-18-99
Cv t9 0000389-99
LT 19
Pa. I If appellant -was Claimant /see Pa. R.C.P.J.P.
o? Nn. 1001(0) in artien before District Justice, he
MUST FILE A COMPLAINT within tw.entle (20)
days alter filing his NOTICE of APPEAL.
This block will be signed ONLY when this notation is required
R.C.P.J.P. No. 10086.
This Notice of Appeal, when :emved by III,! D.sumt lustier volt
a SUPERSEDEAS to the judgment lot possession in Olls case.
pn:y ----
--T. 711.-11117 Ul PtDrhnuolery -"ID,
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of form to he, used ONLY when appellant was DEFENDANT (sue Pa. R.C.P.J.P. No. 1001(71 in acrion he/ore District Justice.
IF NOT USED, detach from cop y o/notice of appeal to he served upar Appel/eel.
PRAECIPE: To Prothonotary
Enter rule upon DE PSEY UNIFORM & LINEN SUPPLY , appetlee(s), to file a complaint in this appeal
Ndnre of appepce(s!
(Common Pleas No. ??_?. L?:L t„eu?r T t? I wnhin twenty i20) days alter service of rule or suffer entry of judgment of non pros.
DEMPSEY UNIFORM & LINEN SUPPLY Sign nue of appellant or his atio"ley or agent
RULE: To-- ____ _- ,apucllae L-1
rJamc o/ aPPeecclsi
(1) You are 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 or registered mail.
(2) If you do not file a complaint within this time, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST
YOU UPON PRAECIPE.
(3) The date of service of :his rule if service was by mail is the date of mailing.
Date: .3 , 199 L 1 r Z 1 O.r.
y"
T SOnatureo/Piothonotaryor Depu1ry
White---- Prothonotary Copy
Green ---- Court File Copy
Yellow--- Appellant's Copy
Pink ------ Appellee Copy
Gold ------ D. J. Copy
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proof of service MUST BE FILED WITHIN TEN (10) DAYS AFTER filing the notice of appeal. Check applicable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ; ss
AFFIDAVIT: I hereby swear or at lieu that I served
a copy of the Notice of Appeal, Common Pleas No.__, upon the District Justice designated therein mt
(rfa to of service)- 19_, (J by personal service by (certified) (registered) mail, sender's
receipt attached hereto, and upon the appellee. 1011
19 -? by personal acrvice. U by (certified) (registered) mail, sender's receipt attached hereto.
and further that I served the Rule to File a Complaint accompanying the above Notice of Appeal upon the appellee(s) to
whom the Rule was addressed 190 fly personal service ? by (certified) (registered)
mail, sender's receipt attached hereto.
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS DAY OF • 19-.
Signature of official before whom alliddva wus nr.rrle
Title of official
My commission expires
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COMMONWEALTH OF PENNSYLVANIA
,UUN 1 Y Ur-: "mss-u'Ln?u?L
Aias Dist ua
09-1-01
W tiame Mon.
CHARLES A. CLEMENT, JR.
Access 1106 CARLISLE ROAD
CAMP HILL, PA
T6i. (717) 761-4940 17011
ATTORNEY DEF PRIVATE :
JAMES WALSH, ESQ.
4409 N. FRONT STREET
HARRISBURG, PA 17110
NOTICE OF JUDGMENT/TRANSCRIPT
PLAINTIFF: CIVIL CASE
?AVE a?CACORESS
rDEMPSEY UNIFORM & LINEN SUPPLY 7
5321 A JAYCEE AVE
HARRISBURG, PA 17112
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VS.
DEFENDANT: ?APEJM ADDRESS
rNEW CUMBERLAND DINER
435 BRIDGE STREET
NEW CUMBERLAND, PA 17070
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DocketNo.: CV-0000389-99
Date Filed: 9/02/99
?' stHV
THIS IS TO NOTIFY YOU THAT:
Judgment: FOR PT.ATN TFF
?X Judgment was entered for: (Name) nFMP4FV TMTFORM n T.TVT.,W GnPPT.V
?X Judgment was entered against: (Name) NEW CTTMUF-RT.Anm nTNEg
in the amount of$ 1 -Stay-o0 on
? Defendants are jointly and severally liable.
? Damages will be assessed on:
? This case dismissed without prejudice.
Amount of Judgment Subject to
Attachment/Act 5 of 1996 $
El Levy is stayed for days or ? generally stayed.
Objection to levy has been filed and hearing will be held:
(Date of Judgment) 10/1 R/aa
(Date & Time)
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 RIGHTTO APPEAL WITHIN 30 DAYS AFTER THE ENTRY OF JUDGMENT BY FILING A NOTICE
OF APPEAL WITH THE PROTHONOTARY/CLERK OF THE COURT OF COMMON PLEAS, CIVIL DIVISION. YOU
MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENT/TRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL.
I ., Date "'. - istrict Justice
I certify that this is a true and correct copy of the record of the proceedings containing'the`judgment.
Dale District Justice
My commission expires first Monday of January
2002
SEAL
AOPC 315-99