Civil Court of the City of New York
County of Index Number
Plaintiff(s), -against-
NOTICE OF ENTRY
Defendant(s),
Please take notice that the within is a true copy of a(n) DECISION ORDER JUDGMENT duly entered in the office of the Clerk of the Civil Court of
(choose one)
the City of New York, County of New York, on the Dated:
day of
20
Signature: x Print Name: Address:
CIV-GP-105(12/03)i
FREE CIVIL COURT FORM No fee may be charged to fill in this form. Form can be found at: http://www.nycourts.gov/courts/nyc/civil/forms.shtml.