IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT __________________ ) ) ) ) ) ) APPEAL CASE NO. ) Administrative Appeal ) District Court Case No. ) ) REQUEST FOR APPROVAL OF SUPERSEDEAS BOND REQUEST I am submitting a supersedeas bond in the amount of $___________________ in the form of a cash deposit surety bond. I request that this supersedeas bond be approved. Date I certify that on a copy of this request and the bond were mailed personally delivered to (list names): City By: Home Phone ORDER Request to approve supersedeas bond is granted. Pursuant to Appellate Rule 603(a)(2)[a], the judgment in this case is stayed for the duration of the appeal. Request to approve supersedeas bond is denied. Reasons: Signature of Appellant Print Name and Title (if applicable) Mailing Address State ZIP Work Phone
Appellant (person bringing appeal) vs.
CI
Appellee
Date I certify that on a copy of this order was sent to (list names): District Court Case file Administrative Agency Appellant Appellee Clerk:
AP-115 (3/01)(st.3) REQUEST FOR APPROVAL OF SUPERSEDEAS BOND
Judge/Clerk* Type or Print Name *Clerk may sign only those orders authorized by Appellate Rule 603(a)(2)[e].
App. R. 603