COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.FIRST JUDICIAL DISTRICT OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA COUNTYCalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Notice ofAppeal from Summary Conviction -Traffic NAME AND ADDRESS OF DEFENDANT/APPELLANTCOURT OF COMMON PLEAS MOTION NO.LAST NAMEFIRST NAMEAPPELLANT'S DRIVER'S LICENSE NO.ADDRESSDATE APPEAL FILEDCITYSTATEZIP CODE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Appellant appeals the following traffic citations, which were issued by the PHILADELPHIA TRAFFIC COURT, 800 Spring Garden Street, Philadelphia, PA 19123:DATE OFTHE PEOPLE OF THE STATE OF NEW YORK TOCITATIONISSUEBADGEDISPOSITIONORDERNO.DATENO.OFFENSEDATEDISPOSITIONAPPEALEDGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.Check if appealing imposition of prison sentence.Check if appealing denial of request to return impounded vehicle.Check if appealing establishment/reestablishment of payment plan.ATTORNEY'S NAMEPHONE NO., one of the Justices of theCourt in Witness, Honorableday of, 20 County,ADDRESSSUPREME COURT I.D. NO.CITYSTATEZIP CODE(Attorney must sign above and type name below)Appellant's/Attorney's Signature:Date:Attorney(s) forFOR COURT USE ONLYA hearing is scheduled forAM/PM in Courtroom, at, Criminal Justice Center, 1301 Filbert Street, Philadelphia, PA 19102.Office and P.O. AddressAPPELLANT/DEFENDANT PLEASE NOTE:YOUR APPEAL WILL BE DENIED OR DISMISSED IF YOU FAIL TO APPEAR. RECEIPT OF THIS COPY OF THE NOTICE OF APPEAL IS YOUR PERSONAL SERVICE.Telephone No.: Facsimile No.: E-Mail Address:For the Court:Date:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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