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NOTICE OF CIVIL APPEAL (Case Number)
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UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF WASHINGTON

Plaintiff(s), v. NOTICE OF CIVIL APPEAL

Defendant(s). Notice is hereby given that

(District Court Judge)

(Name of Appellant)

(Name of Order/Judgment) entered in this action on (Date of Order)

Name, Address and Phone Number of Counsel for Appellant or Appellant/Pro Se