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Thi. block wiD be signed ONLY when this notation i. required under Po.
10088.
This Notice of Appeal. when received by the Di.trict Ju.tice, will operate CD a
SUPERSEDEAS 10 the judgment for po..e..1on in this ca.e.
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NOTICE OF APPEAL
COMMONWIALTH 0' 'INNnLvANIA
COUIT 0' COMMON 'UAS
fROM
JUDICIAL DISTlleT
DISTRICT JUSTICE JUDGMENT
COMMON'UASN.. tf5 - 4-'100 ~ T~
NOTICE OF APPEAL
Notice i. gi_ lhot the appellant ho\ filed in the obove COUft of Common Plea. an appeol from the judgment rendered by the Di.trict .ltJ.tice on lhe
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Signalure 01 Prothonotary Of Depuly
If appel/ant was CLAIMANT (see Pa, R.c,P,J.P, No,
1001(6) in acllon before District Justice, he MUST
FILE A COMPLAINT within twenty (20) days after
filing his NOTICE of APPEAL.
(This section 01 form to be used ONLY when appel/ant was DEFENDANT (see Pa, R.C,P,J.P, No,
IF NOT USED, detach lrom CqlY 01 notice 01 appeal to be seTVed upon appel/eel,
PRAECIPEI To Prothonotary
Enter ",Ie upon l ,14" G V.
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
tOOl (7) in action belore District Justice,
(Common Plea. No. cr 5 - t.+'S 00
R. dI~ 1C. . appellee{.). ta file a complaint in this appeal
NM>J 01 _5)
~ ~ within twenty (20) day. after service of rule '" .uffer entry of judgment of non pros.
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RULEI To
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. appellee(.),
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(1) You are ~ thot a rule i. hereby entered upon you to file a complaint in this oppeal within twenty (20) day. after the dote of
service of this ",Ie upon d"" by fle<SOl1Ol .ervice '" by certified '" registered moiL
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(2)" you do nol'file ~'ciimplciint within this time. a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU,
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(3) The dote .rvice of thi. rule if .ervice was by moil i. the date of moiling.
Date:
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. 19..9.S:
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NJPC 312-fW
COURT FILE TO BE FILED WITH PROTHONOTARY
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LAXE V. RICHART, II, I IN THE COURT OF COMMON PLEAS OF
Plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA
:
v. I CIVIL ACTION - LAW
I
DAVID HERTZLER, :
Defendant : NO. 95-4400 CIVIL TERM
ORDER OF COURT
AND NOW, this \~tt. day of August, 1995, upon consideration of
Defendant's "petition to proceed without payment," it appears to
the Court that Defendant can pay the small filing fee involved in
this appeal and the petition is DENIED.
BY THE COURT,
David S. Hertzler
4l1-D Beaver Avenue
Enola, PA 17025
Defendant, Pro Se
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(8) Persons dependent upon you for support
(Wifs) (Husband) Name:
ChUdren, f any:
:~<1't6f\'\
{Jl'/i58
J./evt:r"'2Le'/l.
Hen:r"J Lev>
Age:
<6 yt'tS
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Other persons:
Name:
Relationship:
~c~. I understand that I have a continuing obligation to inform the
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court of improvement in my financial circumstances which would permit me
t6J'ay the coats incurred herein.
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;~. I verify that the statements made in this 3ffidavit are true and
c~set, I understand that false statements herein are m3de subject to
to the penalties of 18 Pa. C.S. i 4904, relating to unsworn falsification
to authorities.
Date: ~h,fq5
iJri1~~~J~
Petitioner '
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C_NWIALTH O' ,INIlIYLYANIA
COUI' 01' COMMON 'UAI
NOTICE OF APPEAL
FROM
.
DISTRICT JUSTICE JUDGMENT
COMMON,UAIN.. tf5 - 4-,/-00 ~.:1.. T~
NOTICE OF APPEAL
Notice i. giwn that the appellant ",.. filed In the aboYe Court of Cammon Plea. an appeal fram the judgment rendered by the District Juotice an the
date and In the COM mot ,tia"ed beIaw
JUDICIAL DIUI,C,
~t1\7/1;~
CV II!
U19 tAv
1M block wil be signed ONlY when thI. notation i. required under po; UP. No. If appellant was CLAIMANT (see Pa, R.c,P,J.P, No,
10088.
1M Notice of Appeal, when recelwd by the Di.trict Ju.tice, WIll operate as a 1001 (6) In act/on befcxe District Justice. he MUST
SUPERSEDeAS ta the judon-/ far paslHllan in thI. COle. FILE A COMPLAINT within twenty (20) days after
filing his NOnCE of APPEAL,
an
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S/gla"'" 0/ ProIhonotaty ex Deputy
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section oIlonn to be used ONLY when appellant was DEFENDANT (see Pa, RC,P.J.P, No. 1001(7) In ac/Ion before DIstrict Justice.
IF NOT USED, detach from c~y o( no/Ice o( appeal to be served upon appellee),
PRAECIPE. To Prothonotary
Enter rule upon I A'F: 6' II.
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R.'-I1",,, 11:. ,oppolu(.). to file a complaint in this appeal
N;me 01 ___/
~ ~ within twenty 120) day. after ...vice of rule or suffer entry af judgment of non pros.
:0wrJ /<S~ ~
S9>s/ln> Of his Bllomey Of __
{CommanPleasNo.Js _ 4-400
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RULE. To
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, appeIlee(s~
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(1) You are notified'l!iiit a rule is hereby entered u~ you ta file a cOfl1'laint in this appeal within lwenly 120) days after the date of
service of this rule upon you-bY penariaI service or by certified or registered "",,1 ' .,..
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(21 H you do not file a carnplainl within this time, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU, . '.I,
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(3) The date of service of this rule if service was by moil i. the dote of mailing. ~ " ' I
Date: ()j,,\, I' ,19.!l.5.' ~D..~ Cl ,-p~~~
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HJPC 311.&4
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PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(ThiS proal 01 sorvlco MUST BE FILED WITHIN TEN (10) DA YS AFTER tiling tho nolico 01 appoal, Chack appl/cablo boxos)
COMMONWEALTH ~PENNBY~ANIA .J
COUNTY OF L. U JJ1 Of( / ()//rL
AFFIDAVIT:
I heroby swear or efflrm that I served
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() 0 . up th strict Jusllce d,eslgnated therein on
by per n I !J'rvlce Y J;ertlll
pan the appellee, (n 0) ~, ,} , on
,19 by personal service by (certilled) (reglstored) msi1, sender',s receipt attached hereto,
o and fur er thaI I sorved the Rule to File a Complain accompanyln9tha above Notice 01 Appeal upon the appellee(s) to whom
the Rule was addressed on ' 19_ 0 by personal service 0 by (certified) (registered)
mall, sender's receipt attached hereto,
re
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS d5 DAVOF~'19'?,;'
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My commiSSion eMpires on
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