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Lq 8 ';' ..I:. t;;' 2J .:- ~. c: w~ ~ iJ, . l):.l.....! .- .s. ! ,...I p,^ Ii " ;0 -~: +:j ~ .~o .. ~) r<r, ~ (-t"l . . ,. 1f .~ :; - .... c.D -' U'I PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT (This proal 0/ service MUST BE FILED WITHIN TEN (/0) DA YS AFTER filing the not,ce 0/ eppeal, Check applicable boxes) COMMONWEALTH OF PENNSYLVANIA COUNTY OF ; II AFFIDAVIT: I hereby swear or affirm that I served o a copy 01 the Notice 01 Appeal, Common Pleas No, , upon the District Justice designated therein on (date 0/ service) , 19_, 0 by personal service 0 by (certllled) (registered) mail, sender's receipt attached hereto, and upon the appellee, (nama) . on .19 n by personal service 0 by (certified) (registered) mail, sender's receipt attached hereto. o 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 , 19_ 0 by personal service 0 by (certified) (registered) mail, sender's receipt attached hereto, SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME THIS DAY OF ,19_ Signatuf. Of Ilfia"' S.gnalut. 01 off,cl.' befOffl whom all,dllv,' Will made f,fl,. of omcl.f My commission expires on 19_. ~ - '::1fA':::'\ Z 321 761 635 Receipt for Certified Mall No Insurance CO"Jerage Provided 00 not use for International Mail (Seo Reversel ~ $'St'~ hen C. Nude1 j "2'ig"'P1ne Street Esouire Q o CD CO) jg If '" Q. PO 5Ulr""rtlIP(od,,, Harrisbur PA 17101 $ .D- l PO~litQtI Cll'I'l.I...tlF.... SpP('.II[)fI''''''''VF.Of' ~rSTr<ll'd Qf,r.vC'r1 h't! , \0 Z 321 761 636 ~ Receipt for Certified Mail No Insurance Coverage Provided ~I 00 not use for International Mail -.""......: ISee Reverse) Ii! s,,,, '0 Oistr1ct Justice ~ ~ ~ 51",.)1 1",1 ~ll 1507 Market Street Q o CD C') ! 1'0 51,11",1"(I/lP(O",, r.am Hill PA 17011 $ ,.....'"q.. Cflf!ol>t'I:l'~ 0) SP"CoIl1!J<>l...t'fVr_ Q. RV.~UOl.1t'<1 ~1'vl"y reu flUI"", He(lIl1.11 S',oW'''9 10 Wt>mfl & Dill" Dt'll,,!!red , (0 fl,'lu,n A"CIHlll Stlllw,nq to '101"0'" Oa.... ""'I Adllr , ," , , - , - SlIC~ POSTAGE SIAMPS 10 ARIICIl 10 COVER IIRs! ClASS POSIAOI, C!RIllIIO MAil m. AND CHARGIS FOR AMI smcllo GP1IGNAl SERVlcn I... "onll. 1. II lilt! wanl Ihrs rtu1pl pO'lmllked. III(k ItIt gummld slub 10 lht light ollht IItuln ,ddfl11 ,..~ing IhI I,ulpl .ttdchd .nd ~r.1tnt lhf IItltlt all poll alllt' '''VltI window OJ hand it 10 ,GUI luul CJf1lfl 1110 ..11' thargtl l,., ~'~~1 'I'l'1\1 lhi'"tlipl postm,rhd. SlItk Ih. gummed slub to lhe nghl oltM Illu1n /.~...1411111 !t4.Icle. dale. del.ch .nd "'ilm the IItt.pl. Ind "'I~ lh, ,rhd.. . t' ." ..~ "\ t" -- ~ '3, U,'fllU WlInt . ',h\" IUllpl, !fllIlIe the nrlltitd m.ilnumb.t .nd your ".m. ,nd ,ddten on I , IIh1m flCtlpt catfl. fotm 3tH 1. .nd Inleh II to lh" honl 01 the .rllel, by m..nl ollh. IJummtd ltr n. ~_e per~ s. Oflflw'se. ,Illllo bad. olarll(le. [ndorSl hoot 011110 RETURN RECEIPT d:, REQU9;TED Idjacint 10 Ih. numbel. " . J . ,\4,' U ~('I~ .,..nl dIi:;t;,y Ics"let,d 10 ,he .ddlluee. or 10 .n Iulhori,.d .g.nl 01 ,he .dd"II". . '" .ndon, hESTplCTEO DELIVERY on the h01l1 ollht "hCIe. , .........~'"-,-'.. 5. Entll fus 101 Ihe SlI~lCI$ requllled 1ft the Ipproprill' SplCIS on lh. Irml olthil..ceipl. II IIluln Imipt ill.qullled. chid thl IPplinbl. blocks ~ if Jill 1 01 FOlm 381 L 6. S..,this rmipl ilndpfesenl II il you mlh iflqufrY. 10!6(XUJ-B.0218 SliCK PGS!AGI SIAMPS 10 ARTlClll0 CGVlR F1RSI CLASS POSTAGI, CIR111110 MAIL II!, AND CHARGIS IGR AU SmtTrO OPllONAl SERVICU 1...I,"It, 1. II ycu wlnlt"" 'ectlpt pollmllitd. slick Itll gummed slllb 10 Ih. lighl of Ih. llturn .ddr.u ItI~inO th. "tflpl ,luch,d Jlnd pll"nlll'll .tlicll It I poll 0111" .,,,ie, window or hand it 10 ,1M rUI.lcalli.r loo .,1.. chlrll'l. 2. II you d Q.Lwlnt 1~~1 flltfipl posllnllked. slick lh, gummed Slub to the right ollh, IIlur" .ddte lh. Ilt~cll':-'4~le. dlll.th and IIllin the IIC8ipl, Ind In4d thl IIlicl.. r.::"-~ " tt,.y Winl. rltbt,nr.t pI, ""nlll ItIt Uflllied mad II.lmbtr and yOlo' namll and .ddr.n on I tlffn. eCI!IPIClr~rOf'l1'3!'}..ndall.lChiIIOlh'fronloll~'"ttcl.bymeanlotlhllIumn'\td lI,pKk Pt'lJll~lhttW" .Illl to back 01 IItlClt. Endorse IfOOI ollltl(.le RETURN RECEIPT iREauE8iilD,.~.'" Ill'/:. "mbo' \-.~ I ~~'T"tr.Du...Wlnl ~.Ii~"'; 1ft Icl,d 10 IhI .ddluS'I!, Of 10 In lulhori,.d '0''11 ollht .dd,""'. In r.:..ff!&1'fttctED,t)ELIVERV on IhI lIonl 01 the .!tICIe. <0 \I ,," 5.[nl., ~UlwIClIs"Qu'UedlntheIPllropr:'"lp.c"onltltlronlotlhilflClipl.lf ilium r.Clipl i, requeltld. chtd. IhlllP9licablt biotIn in item 1 01 Form 3811. B_ S.v.tnis rllulpl andpru,nlll il wOU m.k.lnQuiry. 10se0J.83.8-0218 r : I t ~ '" 8l ~ 1! .. ::ll <5 0 l!l E 0 LL. <Il , n. " I ~ '" 0> l!? 1! .. ::ll 8 l!l E 0 LL. !/l a. I' ....