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UNITED STATES DISTRICT COURT WESTERN DISTRICT OF MISSOURI NOTICE OF APPEAL
United States of America Plaintiff vs. Case Number Defendant District Court Judge appeals to the United States Court of Notice is hereby given that Appeals for the Eighth Circuit From the: G Judgment & Commitment G Order
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entered on this action on .
Date Name of Counsel Telephone Number Street Address SSN (for CJA compensation)

entered on this action on

City

State

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Signature of Attorney

Date

TRANSCRIPT ORDER FORM
To be completed by attorney for appellant G Please prepare transcript of: G Pretrial proceedings G Testimony or G Portions thereof G Sentencing G Post-trial proceedings G Other G No transcript ordered: Reason: G Previously filed G Other

CERTIFICATE OF COMPLIANCE
Appellant hereby certifies that copies of this notice of appeal/transcript order form have been filed/served upon U.S. District Court, court reporter, and all counsel of record, and that satisfactory arrangements for payment of cost of transcripts ordered have been made with the court reporter. (FRAP 10(b)). Method of payment: G Funds G CJA Form 24, completed and attached Attorney's signature Date (See Reverse)

INFORMATION SHEET
To be Completed by Attorney for Appellant 1. Defendant's Address:

2.

Date of verdict: Offenses:

Jury G Non jury G

Trial Testimony 3.

Number of days

Bail Status:

Sentence and Date Imposed:

4.

Date Trial Transcripts Ordered by Counsel or District Court:

Stenographer in Charge (Name, Address and Telephone Number):

5.

Trial Counsel was G appointed G retained Does Defendant's financial status warrant appointment of counsel on appeal? Affidavit of financial status filed: Is there any reason why trial counsel should not be appointed as counsel on appeal?

6.

Assistant United States Attorney name and telephone number:

COURT REPORTER ACKNOWLEDGMENT
Date Order Received Estimated Completion Date Estimated No. of Pages

Court Reporter's Signature
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Date