Fill and Sign the Notice Appeal Case Form

 Arapahoe County Court  Adams County Court  Douglas County Court 1790 W. Littleton Blvd. 1100 Judicial Center Dr 4000 Justice Way #2009 Littleton, CO 80120 Brighton, Colorado 80601 Castle Rock, CO 80104 E-470 Public Highway Authority v. Defendant/Appellant: ________________________________ COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: _________________ Citation Number:____________ Division: _____ Courtroom:______ NOTICE OF APPEAL AND DESIGNATION OF RECORD – E-470 CASE The Defendant hereby files an appeal in (E-470 case number) for the following reason(s):  At this time, I request a stay of execution. I understand that as a condition of the stay of execution, I may be required to post a bond or deposit the amount of fines and costs assessed. Current information about the Defendant/Appellant: Full Name: Mailing Address: City & Zip: Home Phone #: Work Phone #: Cell #: Designation of Record: E470 will prepare the record on appeal and will include the following items:  The E470 case file, including all pleadings, motions, reports, exhibits, and orders of the court.  The original transcript: (identify proceedings). Date: _____________________________________ ________________________________________ _________________________________________ Signature of Defendant/Appellant Signature of Attorney for Defendant/Appellant, if applicable CERTIFICATE OF SERVICE I certify that on (date) an original was filed with E470 and the County Court in the county where the violation occurred. (Your signature) JDF 234 R11/14 NOTICE OF APPEAL AND DESIGNATION OF RECORD – E-470 CASE © 2014 Colorado Judicial Department for use in the Courts of Colorado