Fill and Sign the Sample Rule 34 Noa Dor Form 1doc

SAMPLE FORM 1 COURT OF APPEALS STATE OF COLORADO 2 East 14 th Avenue, Denver, CO 80203 Denver Juvenile Court, Judge Karen Ashby, 03JV0000 THE PEOPLE OF THE STATE OF COLORADO In the Interest of Z.A. and B.C. Minor Child(ren), And Concerning X.Y. Appellant/Respondent. COURT USE ONLY Attorney or Party Without Attorney (Name and Address): John Doe Denver, CO 80203 Phone Number: 303-000-0000 E-mail: jdoe@aol.com FAX Number: 303-000-0001 Atty. Reg. #: 000000 Case Number: Division Courtroom NOTICE OF APPEAL (CROSS-APPEAL) AND DESIGNATION OF RECORD Notice is hereby given that John Doe, as counsel for X.Y. (mother) hereby appeals the order of termination entered by the trial court on August 4, 2004 and all adverse rulings made therein. DESIGNATION OF RECORD The clerk of the trial court will prepare the record on appeal, which shall include, pursuant to C.A.R. 3.4(e), the following items: 1. The trial court file, including all pleadings, motions, reports, exhibits, and orders of the court. 2. The original transcript of the following proceedings: The termination hearing held on July 20, 2004. SAMPLE FORM 2 3. The name and address of the court reporter(s) is: Jane Doe Denver Juvenile Court City and County Bldg. 1437 Bannock, Room 157 Denver 80202 ______________________________ ___________________________ Signature, attorney for appellant, Atty. Reg. # Signature of appellant ____________________ ____________________ Date Date CERTIFICATE OF MAILING I certify that on ________________________(date) the original of this NOTICE OF APPEAL (CROSS-APPEAL) AND DESIGNATION OF RECORD was filed with the trial court and Court of Appeals; and a true and accurate copy of this NOTICE OF APPEAL (CROSS-APPEAL) AND DESIGNATION OF RECORD was served on the other party(ies) and any court reporters listed above by placing it in the United States mail, postage pre-paid and addressed to the following: ___ ______________________________________ _____________________________________ _________________________________________ Signature _____________________________________