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7017 JAN 18 PM 12. 11
CU PENN YLVAN A rY
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
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® a copy of the Notice of Appeal, Common Pleas No. , upon the Magisterial District Judge designated therein on
(date of service) 111 2012, ? by personal service ® by (certified) (registered) mail,
sender's receipt attached hereto, and upon the appellee, (name) Hassan & Laura Yohe Ada, on
1118,,2012 ?by personal service ® by (certified) (registered) mail,
sender's receipt attached hereto.
(SWOR (AFFIRM ) AND SUBSCRIBED BEFORE ME
THIS DAY OF 20
Si nature of official before who a rvil"'T made Si ure of affiant
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Terree L. Knight, Notary Public
Lemoyne Soro, Cumberland County
l My Commission Expires July 18, 2013
Member Pennsy:vanla Association of Notaries
Title of official
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My commission expires o 201
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