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COMMON"V.AUH O' ,.HN5YLVAHIA
;L_______~__ _ P'_'__ ______.__________________
cau.' O' COMMON PU,U
~JOTICE Of APPEAL
fROM
JUOICIAL DlnllCT
DISTRICT JUSTICE JUDGMENT
COMMON'UASNo. qq - S29'2- CWd-';
._"___~~_____________._______. "___._._ ___._"_ ___ ______.__.__n _____ _.__"___.
NOTICE OF APPEAL
Nolie. i. giwn that the appellant ha, filed in the oboYe Co..t of Common Plea. on """,,01 from the judgment rendered by the Di.,,;.;t Ju.,;.;. on the
dole and in the COM .....,tiol~ bolow.
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'CV 19
lT 19
This block wID b. Iigned ONLY when this noloHon i. required under Po.
10088.
This Notic. of Appeal. when received by the Di.t,ict Ju.tic.. will operole o. 0
SUPERSEDEAS 10 the judgment fat po....1ion in this co...
SIf7liJ/Ure 01 ProthonolilfY Of Deputy
II appell was CLAIMANT (see Pa. HCP.JP. No.
1001(6) in action belore District Justice, he MUST
FILE A COMPLAINT within twenty (20) days after
filing his NOTICE 01 APPEAL.
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(T/Iis seelion of loon to be used ONLY when awel/ant was DEFENDANT (see Pa. HCPJP. No. l00l(7J in action belrxe DisfTict Ju;tice.
IF NOT USED. detach lrom c~y 01 no/ice 01 awe~1 to be served upon awellee).
PRAECIPE. To Prothonolaty
Enter rul. upon .J f' ,f:f::. f<f' '1m 00 (fJ . oppellee(.), 10 file 0 complaint in IIU cweaI
t" Nane~/Iet.'(s)
(Comrr<ln Plea, No. q tf - S7?2 u'iH:! T...~within twenty (20) day, ofler ...v;.;. of rule at .uffor of non_
RULEI To -::Ie .t=' j:: t<f't- '(YJOn((-', oppell..(.).
fwine 01 !)
( I) You ant noHfied thaI 0 rule is hereby entered upon you 10 file 0 c~nl in this appeal within lwenty (20) day. ofNr the dot. of
...v;.;. of this rule ~ you by perlCll1OllefVic. or by certified or regi.tered moil
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(21 ~ you da not file 0 complaint within this Hmo. 0 JlJDGMfNT OF NON PROS Will BE ENTERED AGAINST YOU.
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p) The dole of ..rvic. of this rule if ....vice W<II by moil i. the dale of moiling.
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IMENl',,1::I1, ANN^ R":'" "..
17 '(;U;NI.OOD RD. ^P'l'. ~
D1LLSBURG, PA 17019
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(Dock!!1 No.: CV-0000249-9'1
I Do.lW FII',,1 0/10/94
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MlNA R. MEN'l'ilEi{
17 GLENWOOD RD. "'PT.~
DrLL~BURG, ~A 17019
nus IS TO NOTIFY YOU THA T:
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L:<J Jlid~Jm~fl( '",as Cllr(~ltjrJ tor:
\No.lnw)._,If, Ef RF; Y _~10QBf"lhlQ~ncT,Jb1'!.!'LQQl1-e.... -.--... ..--.
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iX, JlId!)lll11nl W.)S enlfJlud .1n~iJ 1St (NaIl10) ~EW!'? ~R.L_Am'... ..1\ =.._... _ . _.. __'_ _. _.._.___.__._..n__ '-
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iJllIlu Jnl01101 of $
_J..27.0 ..1fL '
(Dat())-'lIQ~ /~_L
,on'
r'_-.,"J
,," DarnagfJs will bo dSS8ti-~:(~d Qn:
(Date & Time) _0'__
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TrllS Cd~t;' l..HSHllS:iHG NIH'\ fllf'jl.j(h..:.~!,
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r'A~r.r~'~;,~"'1-t~I--J;;;.'j91; I(~rlr-' ..~
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I intere'1t an JUiJqfT!i'"lr.t
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L____.2.~T_~~__.___.
$3,278.40
TillS CI'jd disnllS:3Uej Wiihout prt,,;Uciii~0'.
$3,205.40
$7 3.00
$.00
$.00
id J Pusses5iofl ~Jraflted
r-j PI:,5Ses.~lon fJrante:rl It r: \111 lfJY iud~"lfTlent t,,;> nor
L___ ':i,---ll:slitjd witrlin thirty ddY'l.
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['-] Ot.JllCtlOr to lovy r13S been lilac! <.!nd lledflng wlll be held:
rDale;-~-~._--on- '.. ---. '.
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PuSSBSShJI1 not ql lllltfJ(j
Levy is stJyod for ___ days or LJ goraJral:y stayed.
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ANY PAATY HASTIiE fliGHT. TO ~PPEAL WITHIN 30 0.'\'1'5 OF THE DATE OF JUDGMENT BY FILING A NOTICE
OF A, PPE~~ WiTH THE PRO n'lo~jorAAY ie,LEAK O~,THE COURT OF COMMON PLEAS, CIVIL DIVISION.
. ,'. Oaw \ (". r District Justice
.-:._'~ "_~<.._"_ ,~~~,__,::.':::=" '__'~~~:~~:.~,.~ _~'.~_: _,_ "'___~._ _-_____'_ I
, I ,':artlfy it",! ttlis IS a tlU" ,jI;deu'WCI eimy "'.111" rpc,;,id of IIle proc('odlngs'containing the judgment.
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, District JuStice
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SEAL
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COMMONweALTH 0' I'INNnLVAHIA
COUI' 01 COMMON PLIAS
NOllCE Of APPEAL
fROM
JUOfCIAL DISTal"
DISTRICT JUSTICE JUDGMENT
--..----- -:-~=......-=-....::=.:.:.--~~-_.---
COMMO~.'_L_I_~~_~o:__.__1 q__~.
NOTICE OF APPEAL
Notice " gi_ '00' ,he oppeIlon' has filed in ,he above Caurt af Camman Plea. an appeal fram the judgmen' rendefed by ,he Di,'rict Ju.tice on ,he
dare and on the CaM mentianed boo!<...
t-) 1~ /) II~J~+~er
.f,J,.jyMt~-+-t-~ ~t \ '- (~. ~ r'"'jNO 01 ".... '" a'
rJ,.IJ6f.Q-J-~:\-_Ld(")O<~O (~ d-'--.-L~TVJl.JLL.-9 (J &;ir A
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OA"t>~r-n--~or;ii.iOi;"' _, ( 71' '':7r''h
-a;.':fiG=-'Z-_:CZ~J.-.i6_r::I''J \ ')' I' lC' ~f:.i:iror...-tJMti'd r: l'( ed/Ce__
CV 19 ,- (:C, c' '2'-/ q - qy 'L-:.--~r_- ___
____ lT 19 ' 7t.. / ~ .:>-
Thi. black will be signed ONLY when this natation i. required undo< Po. /I appelliJt1l'was CLAIMANT (see Pa. R.CP.JP. No.
10088.
Thi. Notice of Appeal. when recei...d by the Di.trict Justice. will aperote a. a 100 t (6) in action before District Justice, he MUST
SUPERSfDEAS ta the judgment fat po..e.sian in this ca... FILE A COMPLAINT within twenty (20) days alter
"ling his NOTICE of APPEAL.
I ?ftP-
StgnallJllJ 01 ProthO(lotiUY Of Deputy
PRAECIPE TO ENTER RULE Te-'ILE COMPLAINT AND RULE TO FILE
(Thts section 01 form to be used ONLY when awcl/ant was DEFENDANT (see Pa. HCPJP No. 1001(7) vi acllon before DIStrict Justice.
tF NOT USED, dcloch from C'l'V 01 notice of ilWCaJ fo be served upon appellee).
PRAECIPE, To Prolhonalaly
EntM rule upon _~~_ (I''') ()() (e. .appellee(.). to file a complaint in this appeal
/__N.itTltJt-;,//lW(S)
(Cornman Plea. No. -.!l tf - S7? 2 (/id T ~within twentv (20) days aftM ...vice of rule or .ufler t af nan ptO~
RULE. To --~-Ke-':L___1\1Lk- .Ie. appell.e(.).
Ntrna 01 ~It.'(v~)
-
(I) Yoo are natified that a rule is hereby ontMod upan vou ta file a complaint in this appeal within t"",ntV (20) day. after the date af
wtf'vice of tru$ r\J~ upon you by pers.onat service or by cltrtified Of registered mail
(211f you da nat file a complaint wijhin this ~mo, a JUDGMENT OF NON PROS Will 8E ENTERED AGAINST YOU.
PI The date af ...vice af this rule if ...vice woo by mail i. the dote af mailing.
C"\:")
Date: 0(1.. I'
.19!lf
~O~'- d. YV/i.l~ '. ~"
, .-. Slgr1IOlft 01 Ffolho, '"
r____ ~
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~JIJ64
PROTHONOTARY
CUMBERLM:O COUNTY COURTHOUse
ONE COURTHOUSE SQUARE
CllRI./SLE. P^ 17013-33S1
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
f Th,., proof of 'J6fVICO MUST BE FILED WI THIN TEN (10) DA YS AFTER "'/flY 't1tJ nollco of tlPPOdJ Chuck applicable bO)f6.1)
COMMONWEALTH 0' PINNSVLV.,NIA
_J "
COUNTY 0' ~~_~:.':~_.____; II
AFFIDA VIT: I h~reby .wear or aflirm that I oerved
C'lc/ ,- 'It'? ....
[~r-acopy of the NOllce of..~PP6":i: C,07man ~!p'a;; No.' "1 .'; -"""-, upon the District Justice designatedlherom on
(date of .erVIce) () (,' ,19....Li, 0 by p"roonal.ervlce ~ertllied) (regiolered) mall, .endor's
receipt attached hereto, and }.Ipon fhe appellee. (ndme) I . on
(" , '" I 1 f/ Y
. ." L . I. 19~ by personal servlCo Gllfi'Cerlllied) (registered) mail. sender's receipt attached hertilO
(J-aj'd further thai I served the Auloto FiI'2e Compl..",laccompanymg the above Nolice 01 Appeel upon the eppellee(s) to whom
th& Aule was addrossed on. J - :; , 19 'i'V 0 by peroonal .ervlce ti'J-llTlcorlllied) (registered)
mall, sender's recol chad hereto
SWDANIAFFI~EPIAND
THIS )1 tl(- DAY 0
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My COmml$SIOn e"pHes on .~.
Z 713 7Da loaD
~ Receipt for
Certified Mail
'. No Insurance Coveroott Provided
~ Do not use for Intornational Mall
(Sae Reversel
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