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Vivian Cohick
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Street, Apt. No.;
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55 Penn Drive
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r` ""!4 Vi411e, PA 17241__ ---_ _ --------------- O criy,§tare,yiP+4
Newville, PA 1
17241
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 of the notice of appeal. Check applicable boxes.)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ; ss
AFFIDAVIT. I hereby (swear) (affirm) that I served
® a copy of the Notice of Appeal, Common Pleas 12-86 upon the District Justice designated therein on
(date of service) January 9 , 2012 ? by personal service ® by (certified) (iji 71frN* mail,
sender's receipt attached hereto, and upon the appellee, (name) CRF Mechanical, Inc. , on
January 9 20 12 ? by personal service ® by (certified) (0* fiX&Wf mail,
sender's receipt attached hereto.
(SWORN) (AFFIRMED) AND SUBSCRIBED BEFOR ME
TWS 9th DAY OF January .___5 .
JIF GCJ??? IL'`?^?c
Signature of aHiant
Signature of1ficial before whom affidavit was made
Notary Public
Title of official
My commission expires on 20
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CONNIE J. TO Pd*
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COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
Judicial District, County Of Cumberlan(i
NOTICE OF APPEAL
FROM
P TRICIT 4USTICE JUDGMENT
COMMON PLEAS No.
NOTICE OF APPEAL
Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the District Justice on
the date and in the case referenced below.
Robert L. Foltz, Jr.
DJ-09-3-02 IHon. Vi
ve
MJ-09302-CV-0000178-2011
This block will be signed ONLY when this notation is required under Pa. If appellant was Claimant (see Pa. R.C.P.D.J. No. 1001(6) in action
R.C.P.D.J. No. 1008B.
This Notice of Appeal, when received by the District Justice, will operate as a before a District Justice, A COMPLAINT MUST BE FILED within twenty
SUPERSEDEAS to the judgment for possession in this case.
(20) days alter filing the NOTICE of APPEAL.
SipIW- of P-h&--y m DepAy
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.C.P.D.J. No. 1001(7) in action before District Justice. IF
NOT USED, detach from copy of notice of appeal to be served upon appellee.
PRAECIPE: To Prothonotary
Enter rule upon CRF lgehanical., Inc.. appellee(s), to file a complaint in this appeal
Name of appell"(s)
(Common Pleas No. /- !? to t. . ? j) within twenty (20) days after service of rule or suffer entry of judgmenf of non pros.
RULE: To CRF Mechanical, Inc. . appellee(s)
Name of appe#Ws)
Signature ofappellant or attorney or agent
(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) 0 you ¬ file a complaint within this time, a JUDGMENT OF NON PROS MAYBE ENTERED AGAINST YOU.
(3) The data of gerviceof this rule if service was by mail is the date of the mailing. - j°
n > f .. 20, Date: 12 SOIWM of Pranonot DepiAy
4:?
YOU MUST INCLUDE A COPY OF THE NOTICE OF JUDGMENT/TRANSCRIPT FORM WITH THIS NOTICE OF APP A .
AOPC 312-02
WHITE -COURT FILE TO BE FILED WITH PROTHONOTARY GREEN - COURT FILE YELLOW - APPELLANTS COPY
PINK - COPY TO BE SERVED ON APPELLEE GOLD - COPY TO BE SERVED ON DISTRICT JUSTICE