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COMMOHW.ALlH 0' P1HHIYLYAHIA
COUll 0' COMMON ,~iAI
NOTICE 0' APPEAL
fROM
IUDleIAlDIIII,el
DISTRICT JUSTICE JUDGMENT
eOMMOHPUAIH.. 9'1- j.'J '1<- C:UI I T~
NOTICE OF APPEAL
Notic. II gi_ lhot Ih. uppellanl hOl filed In Ihe oUove COUll of Comma" l'IeOl on ol'"eollrom the judgmenl rendered by Ih. Oi."ict Ju.tic. on lhe
date and In the call menlioned below.
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Thil block wlll~: ::"ed ONLY whe" ~'i; r";I~;'~~;; ~;C1u";;r';-nder P';' 'lfm~-L't r;~;;;;'~!&LAIMANT (soo Pa. HC.P~jp. No.
10088.
Thi. Nolice 01 Appeal. whe" received by Ihe Oi."ict JUllic.. will opemle a. a 1001(6) 1/1 action before Dis/f/c/ Jus/ice, he MUST
SUPERSEDEAS to the judgmenll", po..e.,;"" in Ihil COlI FILE A COMPLAINT within twenty (20) days after
____ .. __ Wing hiS NOTICE. of APPEAL.
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---~..._-_...--~._.._-~._- .-- . - - . - ---- --" ~_._-----
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of loon to be IISed ONL Y W/I<!n il/ll!'l/ant was D[fENDANl (SHe Pa RCPJ.P No '00 1(7) lit ,1Ct10ll before Dls/Tlct JustICe.
IF NOT USED, dcJl11cfl fmm C<llY 01 notICe n/Il/~"ill '" /., """'f~I"".l il/l.,I/",,)
PRAECIPE, To Prothonolory
Enlerrule cIDor1(le II F.x~ 1-l1i::.1 (011\1(-
upon ______.__..____.L_.__ _......____._.._._....
N;k'Jl~ III ~.Hll~'IlfsJ
. appellee(ll. to Iii. 0 complaint In !hi. appeal
(COIMlOI1 Plea. No
'N- 3),/1.
C I V 0 I ?( ^',,, 1 w,lh,n twenly (20) day. after ...vice 01 rule '" .uller entry 01 judgment of ~
vf.&-u f^-_ vclu 1/.y'Jt J f1f11' I I-/L. 'I<<
..,.-: S'glItlle 01 ~JOMwJt Of hiS .tfun~ Of ~
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RULE. To O'D..~ II 1,.X'e AI td CL'n~}~c ._____. appellee!'1
Nwno 01 iJl'f)('JlLIf!(Sj
(I) You are nolifled thot a rule i. hereby enlered upon you 10 lile a complainlln thi. appeal within twenly (20) day. alter the dole 01
...vlc. 01 tt;. rule upon you by penonal .ervlce '" by certified '" regi.tered mail
(2) II you do nol file a complainl w~hin thi. lime, a JUDGMENt OF NON PROS Will BE ENtERED AGAINST YOU.
(3) The date of l8fvk. 01 thil rule II .ervice wo. by mail It lhe dol. of mailing.
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PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
I r hiS /1100' 01 S8",rw MilS r /JL I ILl [l WiI "IN 1/ N 1101 {JA t S AI TL /1 1111119 /118 1I01'C8 01 .pp..' Ched eppl,ceble bou.}
COllllONWUL1U Of PENNIYLYANIA
COUNTY OF ____._.
.11
AFFIDAVIT: IIIIII""y OWl"" 01 """rn 111"11 sOlVed
U a "opy 0111.. NIIII". 0' App.ol. ["lIlmUII PleBS No _._. . upon 1110 Olelrlel JUllleo dOllgnolod IhelOln 0"
(d.,. 01 '."".1 . .. ..__ 19._.__, 0 111 pellonal .."leu 0 by leurllhudllraglllelUu) Inail, ,.nulI',
,pcl'lpl dllac I,pd ',.r 0111 or,,1 IIPO" II", oppelloo. (".mu) __.. ____.____.__. __" .. -. _ - - .--_ . on
_.____., 19____JJ liv "el8ullol.OIme 0 111 (rerhhud) ('~glsl..edlmall. .ond... rOlolplollocllud he,eto
o elld lullllul IIIall'ur vuil III" no I" 10 f i1,," Complo"'lau:ompanyulg Ihu above Nollce 01 Appell uponllla appellee(I) 10 whom
IIIe nolo was adlll.""" UI1 _.n ... ..o_ ._____._____.._, 19__....0 bv perlOnal ..IV" I' [J by Ico'llllodllrog16lured)
f110d, &endel6 ler:f'lpl altarhetJ herelo
SWORN (AFFII1MWi AND blJllSCflllJLD HEr onE ME
THIS .....__._..._.._..nAY Of._ .19...__
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NOTICE OF APPIAl
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eOMMONWIAlIlI 0' 'IHNlllVANIA
(011110' coMMON 'llAl
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lUDIUAl PIIIII<I
DlilRICT JUnlCl JUDGMENT
(OMMOHPl,,.'Hu.
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Not". i. y,vellll,,' ,h. OI~..lkJII'I." 1,Ito1l '" 'h. "hllv. (,,11I1 "I (.."""" l'It.", "" ,~~..."i t"." ,I". l'"jll""''''II'IIIlo".d h, th.l~,'"d lu.I.' "" lhe
dole und in the tOMl nwnlluned heluw
NOTICE Of APPEAL
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10088
n~, Notte. 01 Appelll. when 't!lt'lllfod by the O'lllltl .J1J~"t" ....111 npPfUtt (]\ II
&UPERSEDEAS to Ihe judgnlftnt 101 puueulon ill thu nue
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If .1I'K'/lilfl/ Wil~ Cl A/MAN! (M!t! 1\1 flC 1',11' No
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/111 A COM/>f A1N! w.lIl//I IWf'/lty (;>0) t/;tyb ,,1I1iI
'ill/l1/ /'" NOf/Cl 01 APl'fAl
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1/ NOT llSLLJ, uoladJ IltHH f(.I~' n/llntlf (' III dnW.l1 III Ill' !,tli'i'd 111'0/1 d/JlH.~I/f'f'J
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO fiLE
PRAECIPE, IQ f'IOII..",lmy
Ental rul8 upon ~); 1:__ J l II f~
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(11 You me IKlt/fled thut U ,u1tt ,\ hereby 6fllefl~d upon yOlJ to "'e 0 [uu.Jtulnl ill tlti\ uppeul wlllllll twenty (201 doy, utlOl th.. d(llu of
lefl'k.' of thi, ,vie upun you by pttt\Ofl(JI ,,,___teet Ot l1)' l",tlfifHj 01 tegi,leuni mu~
(2111 YUlI ,ill 1101 file P (OIllfIkIlnt wilhlll tI". IlnW!, u JUllOMfHI Of NON I'RO~ Will at H~TERW AOAINst YOU
(3) lh. dot. 01 IO'vic. 01 tt..luIe if ."'v". WIll by I1Illilll the doll III muilr"\l
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