Free Notice of Appeal - District Court of Delaware - Delaware

Case 1 :05-cv—00630-KAJ Document 14 Filed 02/06/2006 Page 1 of 3
- NOTICE APPEAL
TO
U.S. COURT OF APPEALS, THIRD CIRCUIT
U.S. District Court for the District of Delaware _
CIRCUIT COURT
DOCKETNUIVKBER:
(leave blank)
FULL CAPTION IN DISTRICT COURT AS FOLLOWS:
DISTRICT COURT
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v. DISTRICT COURT
O JUDGE:
D J ’
Notice is hereby given that · .
(Named Party)
appeals to the United States Court of Appeals for the Third Circuit from [ MTI udgment, [f{Order,
[ ]Other(specify) [Eg:} lggggyg ggd Abfifbcggcé @C€SMQ(lCg.
entered in this action on [ [3 /,2 QQ QZ . - -t ( .
(date) Q
' DATEDE T .
(Counsel for Appellant-Signature) I `
(Name of Counsel — Typed) (Counsel for Appellee) ’
(Address) (Address)
(Telephone Number) (Telephone Number)
NOTE: USE ADDITIONAL SHEETS ifall appellants and/or all counsel for appellees cannot be listed on the
Notice ofAppeal sheet.

Case 1 :05-cv—00630-KAJ Document 14 Filed 02/06/2006 Page 2 of 3
r Certificate of Service
LW;/Q gg gg {4 3 Z; Bbggd C S , hereby certify that l have sen/ed a true
and correct cop(ies) ofthe attached; [OC! (LG, (Q Q ) QQ [
BLQQQMJQS jg Adgmg @{/Qi 1 / ;Q.5—(jk» upon the following
parties/person (s):
To; )§g:é EQ Scmgfgig ro;T bytipgf (iipgnli Qaihk
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32):;; }é;;ii% 53{ (@01 l\;lopKQf; i
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TO: Q!-gérigf Qf,5g€,§;j _ TO: [)·(5£;;;Q é ( Q(|Q;{j l`le:~&
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lgggé gg Qiisfice UQ Ikiséigigi lfouizjtj
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BY PLACING SAME IN A SEALED ENVELOPE and depositing same in the United
States Mail at the Delaware Correctional Center, l l8l Paddock Road, Smyma, DE
19977.
On this day of , 2006

Case1:05-cv—00630-KAJ \0cument14 Filed 02/06/2006 Page30f3
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