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ClIMMOWWlJUTR 01 ,~_nLYAHIA
COUll Of COMMON 'UAI
NOTICE O' APPEAL
fROM
JUDICIAL otlUICI
DISTRICT JUSTICE JUDGMENT
COMMON PLlAI No. 94-6633 Civil Term
NOTICE OF APPEAL
Notice I. 9l- that the appellant hot filod ill the above Court of Cammon Plea. an appeal from the judgment rendered by the Di.trict Ju.tic. on the
dote and In the c.... ",.ntio".d beiaoo<
Don Johns & Jamie Johns
ADCIDI Of AI'f'(l1.AHT
y
Robert V. Manlove
.
10/25/94
3010~ Dickinson Ave. Camp lIill PA
( J IDe/fWkJI""
June Sheaffer "" Don Johns and Jamie Johns
CV 19. ~f C. ~.Ji, t;-y. ~~;,~'';: g~~/J'
LT 19 'l4 J.T-000040'l-QI. ,j.,( 01/ ~""""(I'J I /..,(. :I "IJ.- "'P
Thb bIocIc wit be signed ONLY when this nalotion i. required under Po. R.cP JP. No. If appel/ant was CLAIMANT (see Pa. R.C.P.J.P. No.
10088.
Thb Notice of Appeal. when received by the Di.trict Ju,tic., will operate a. a 1001(6) In action before District Justice, he MUST
SUPERSEDEAS to the judgment fa< pa.....ion In thl. ca.& FILE A COMPLAINT within twenty (20) days after
filing hi.~ NOTICE of APPEAL.
17011
S/f1lllItxe 01 Prolhonolaly Of Depuly
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(ThIs S8C/1on 01 fotm to be used ONLY when appellant was DEFENDANT (see Po. R.C.PJ.P. No. /00 I( 7) In acl/on b9/0ffJ DIstrict Jus/Ice.
IF NOT USED. detach from c",y 01 notice 01 appeal to be served upon appellee).
PRAECIPE. To Prothonotary
Enter rule upon
NlnwJ oIaweUoo(sl
(CcmrnanPlemNa. 94-6633 Civil Term
June Sheaffer
. appeIloe(.), 10 file 0 complaint in thi. appeal
RULE. To
June Sheaffer
Nwr.. oj _,)
) within twonly (20) day. after Z of rulo or .uffer entry of judgment of non proL
. ~~ ~-()(~
. oppeIIoe(.).
(1) You ore noHfied thot 0 rule I. "-by enlefed upon you 10 filo 0 complaint in thlt appeal within twenty (20) day. offer !he dale of
HfVice of thi. rule upon you by penonal "nic. or by certified or regl.tered mail
(2) If you da nol file a complaint w~hln this Hmo. a JUDGMENT OF NON PROS WlU BE ENTERED AGAINST YOU.
(3) The dote of 18fVic. of lhis ,uIe If ...vice we. by mail I. the dale of mailill\J'
Do>te: Nnv. 22. . 19.J!A.
N1PC 312....
COURT FILE TO BE FILED WITH PROTHONOTARY
, '.
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(ThIS proal 01 aervice MUS T BE FILED WI nUN TEN (10) DA YS AF TER /IImg the nof/ce 01 appeal. Check appllcab/l bon.)
COMII'ONW.AL TH a, PINNSYLVANIA
COUNTY 0' ,_ ; II
AFFIDAVIT: I hereby .wear or elllrm Ihall served
o a copy ollhe Notice 01 Appeal, Common Pleas No. ' upon Ihe Dlslrlcl Justlco daslgnaled thareln on
(dele 01 urv/cI/ ' 19._, 0 by personal aervlce 0 by (certllled) (reglslsred) mail, under'l
recelpl allachad herelo, Rnd upon Ihe eppellee, (nlme) . on
. 19--0 by personel service 0 by (cer\llied) (registered) mell, sender's receipl allached heralo.
o and lurthe"hall served the Rule 10 File a Complainl accompanying Ihe above Notice 01 Appell upon lheappellee(s) towhom
Ihe Rule was addressed on ' 19_ 0 by personal service 0 by (cerlilied) (reglslered)
msll, sender's recelpl allsched herelo.
SWORN (AFFIRMED) AND SUBSCRIBEO BEFORE ME
THIS DAY OF , 19_
Slgn,'uI. 01 '''''',.'
Sll1n.rur. 0' ottici,l b"Of' whOm ''',d,vII .11 m~d.
TIlI.alo"lClll
My commlulon .xplr.. on
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JUNE SHEAFFER,
IN THE COURT OF COMMON PLEAS OF
Plaintiff
v.
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 94- ~(,63 CIVIL TERM
DON JOHNS and JAMIE JOHNS,
Defendants
PRAECIPE TO PROCEED IN FORMA PAUPERIS
To the Prothonotary:
Kindly allow, Donald Johns and Jamie Johns, Defendants I to
proceed in forma pauperis.
I, Philip C. Briganti, attorney for the party proceeding in
forma pauperis, certify that I believe the party is unable to pay
ths costs and that I am providing free legal services to the
party. The party's affidavit showing inability to pay the costs
of litigation is attached hereto.
/t
Philip . Briganti
Attorney for Defen nt
LEGAL SERVICES, INC.
a Irvine Row
Carliele, PA 17013
(717) 243-9400
.
Checking Account: S80.00
Savings Account: S2.00
Certificates of Deposit:
Real Estate (including home):
Motor vehicle: Make Ford oick-uo
Cost $750.00
N/A
N/A
Year
Amount owed
1973
SO.OO
Stocks; bonds: N/A
Other: N/A
(f) Debts and obligations
Mortgage: N/A
Rent: S450.00/month
Loans: ~
Monthly Expenses:Groceries S500.00: Teleohone S95.00:
SewaRe S38.00: Health insurance S19.00: Electric $24.00
Car insurance S28.00: HeatinR fuel S207.00: TV cable
$22.00: Gas for car S80.00: ClothinR $50.00
(g) Persons depsndent upon you for support
(Wife) (Husband) Name: Jamie Johns
Children, if any:
Name: Courtney Johns Age: 4 vears
Krvstal Johns 8 vears
4. I understand that I have a continuing obligation to
inform the court of improvement in my financial circumstances
which would permit me to pay the costs incurred herein.
5. I verify that the statements made in this affidavit are
true and correct. I understand that false statements herein are
.
. .
made sUbject to the penalties of 18 Pa, C.S. 4904, relating to
unsworn falsification to authorities.
Date: II . ;( I . 7 Y
,<!.....,. '.,)',
'j ,',
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This pro%/service MUST BE FILED WITHIN TEN (10) DA YS AFTEII flllno t/lO notice of appeal. Check eppllcab/e bo.a.)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ( (( ,.,h-I"/""./
;u
AFFIDAVIT: I hereby swear or affirm Ihall served ( 'J r
'1# - tt i) /,,,,., I ~rr>-t
~Opy ollhe Nollce at Appeal, Common Pleas No. , upon Ihe District Jusllce designated therein on
(dete a/service) N'v~"'Mr:1 ~, 19 9'1 , 0 bY.lll'rsonal service ~ (cerlllled) (.q.' II r~) mall. sender',
re~e~attachad hereto, and upon the appellee, (name} J 4....& S),~p..f.,,.. ; on
/Vo lie"'" ".J.,.J. . 19aD by personal service ffi1lY (certified) (r 1.' i) meil, aender's receipt ettached hereto,
s--a;;d lurther thai I served the Rule to File a Complaint accompanying the above Noticeof Appeal upon theappetiee(S) lOWhom
, the Rule was addressed on 1V(J<.M>mJu-r> .~..), . 19.2!i. 0 by personal service ~cerllfied) (n.III"I~) I .,
mall. sender's receipt attached hereto.
SWORN (AFFIRMED) AND SUBSCRI8ED BEFORE ME
THIS DAY OF , 19_
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