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Home My WebLink About02-1122COMMONWfEALTH Of PENNSYLVANIA COURT Of COMMON PLEAS JUDICIAL DISTRICT NOTICE OF APPEAL DISTRICT JUSTICE JUDGMENT 6 - // NOTICE OF APPEAL Notice is gh, en that the G~k3nt has filed in the above Cou~t of Common Pleas afl appeal from the judgment rendered by the District Justice o~ the date and in the case menfiofled bek~ 1~8~ 1~1 (6) in ~t/~ ~ ~s~ict J~t~e, ~ ~ST ~ ~ of A~I, ~ ~d~ ~ ~ DsV~ JusAe, will ~ m a ~PER~DEAS ~ ~ j~ ~ ~ in this case FILE A COM~AINT within ~ (20) ~ aH~ filing h~ ~TICE ot A~EAL. S~ ot ~t~y ~ 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.J.P. No. 1001(7) in action before Distn'ct Justice. IF NOT USED, detach from cop)/of notice of appeal to be served upon appellee). PRAECIPE: To Prothonotary ~,e~ '~ P(~ T~'/~' 0/~) , al~ee(s), to file a complaint in this cq:~Kd Neme o~ appel~se[s) (CommoflPle~sl,~ ~'~' //~(~-- ~--,~'1 "~--,-,~ )withintwent¥(20)d(]ysofterserviceofru/l~°r~erentry~iuck3menf°fnonPn~ Name o~ (1) You am notified that a rule is hereby entered upon you to file a complaint in this appeal within tw~flty (20) days after the date of service of this rule upon you by peesonal service o~ by certified o~ registered mail (2) If you do not file a complaint within th~ time. a JUDG,'~NT OF NON PROS WILL BE ENTERED AGAINST YOU. (3) The date of service of this rule If service was by mail is the date of m~linG (,, COURT FILE TO BE FILED WITH PROTHONOTARY AOPC $12-g0 PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT (This proof of'service MUST BE FILED WITHIN TEN (10) DAYS AFTER firing the notice of appeal. Ch.eck_applicab~. boxes) COMMONWEALTH OF PENNSYLVANIA COUNTY OF .............................................. ; SS AFFIDAVIT: I hereby swear or affirm that I served [] a copy of the Notice of Appeal, Common Pleas No. (date of service) , upon the District-Justice designated therein on , [] by personal service [] by (certified) (registered) mail, sender's receipt attached hereto, and upon the appell~"el (name) on , [] by personal service [] 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 on .............. [] by personal service [] by (certified) (registered) mail, sender's receipt attached hereto. SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME THIS ........... DAY OF Signature of affiant Title of offic¢a! My commission expires on ~:. .................................. COMMONWEALTH OF PENNSYLVANIA COUNTY OF: ~ERT.,21~TD Mag. Dist. No.: 09 -3 -03 DJ Name: Hon SUSAN K. DAY Add,ess: 229 MILL STREET, BOX 167 MT. HOLLY SPRINGS, PA Te.ephone:(717) 486-7672 17065 JOHN LANE 3 SOUTH 40TH ST. P.O. BOX 693 CAMP HILL, PA 17011 NOTICE OF JUDGMENT/TRANSCRIPT CIVIL CASE PLAINTIFF: NAME and ADDRESS rPETERSON, AUTUMN L 9.31 NRALS DRIVE CARLISLE, PA 17013 VS. DEFENDANT: NAME and ADDRESS F-LANE, JOHN 3 SOUTH 40TH ST. P.O. BOX 693 ~AMP HILL, PA 17011 Docket No.: CV-0000377-01 Date Filed: 12/17/01 THIS IS TO NOTIFY YOU THAT: Judgment: ~-~ Judgment was entered for: (Name) ~'-~ Judgment was entered against: (Name) in the amount of $ F~41 .~0 on: r-~ 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 $. ~ Levy is stayed for days or [~ generally stayed. ~--] Objection to levy has been filed and hearing will be held: DEFAULT JUD(~IRNT PLTF JOHN (Date of Judgment) (Date & Time) Amount of Judgment $ 495.00 Judgment Costs $ 46.50 Interest on Judgment $ .00 Attorney Fees $ .00 Total $ 541.50 Post Judgment Credits $ Post Judgment Costs $ Certified Judgment Total Date: Time: Place: ANY PARTY HAS THE RIGHT TO 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 .,~-'7--(~,~ Date /_...~~ / k.~ , District Justice ' cedify that this is a true ~/~d correct copy o~ the reco~ of th/proceedings containing the ,udgment Date , District Justice My commission expires first Monday of January, AOPC 315-99 2004 SEAL PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT (This proof of service MUST BE FILED W/THIN TEN (10) DAYS AFTER filing the notice of appeal. Check applicable boxes) COMMONWEALTH OF PENNSYLVANIA COUNTY OF _~__.,C.,,J r""*_~ .~/~ c'___'~. ;SS AFFIDAVIT: I hereby swear or affirm that I served [] a copy of the Notice of Appeal, Com..moon, leas No. C~Jz/_i~dJ ?~-c)) , upon the District Justice designated therein on (date of service) ~~.~ .... [] by pers~,n.al service [~_ b_..y (certified) (registered) mail, sender's rec, eit:)t attacned hereto, and upon the appellee (name) _("~.Y'IU~,5~_. ,/~'?'~7'1~'~./ on L -~"r,./',Ct._ ., '"'~"'---'- [] by persona service ~d) (registered) mai, sender s rece pt attached hereto. [] and further that I served the Bule to File a Complaint accompanying the above Notice of Appeal upon the appellee(s) to whom the Rule was addressed on mail, sender's receipt attached hereto SWORN (AFFIR.MED) AND SUBS(~RIBED BEFORE ME ~ ',.t.,,.... , ~5je of of~ial ~fore wf~o~davi~ w~ made My commission expires on i' ' / I CLAUDIA A.BREW~IA~(I~N~ NOTARY PUBLIC I,~ .My~mmissJon Ex~ resA~ 4, 2005 _., [] by personal service ~--t~y (certified) (registered) / ? liouNr HOLLY SPRINGS PA .~, ).., r~l Name (Please Print Clearly) (To be completed by mailer) CARLISLE PA 17015 $0,34 $ 12.10 ~u i Name (Please Print Clearly) (~ be completed by mailer) m [.e,...~..-t...u..___r~.~_~ L. v'~-~¢5o n