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UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA
_______________________________
Plaintiff vs. Civil Action No.___________
____________________________________ Defendant
NOTICE OF APPEAL
Notice is hereby given this day of , 20 , that
hereby appeals to the United States Court of Appeals for the District of Columbia Circuit from the judgment of this Court entered on the in favor of against said day of , 20
__________________________________________ Attorney or Pro Se Litigant
(Pursuant to Rule 4(a) of the Federal Rules of Appellate Procedure a notice of appeal in a civil action must be filed within 30 days after the date of entry of judgment or 60 days if the United States or officer or agency is a party)
CLERK
Please mail copies of the above Notice of Appeal to the following at the addresses indicated: