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In The Superior Court of the State Of Arizona

Page 1 of 2 Form #209 LRD 08/12 ALL RIGHTS RESERVED clerk of Superior Court of Arizona in Maricopa County In The Superior Court of the State Of Arizona In and For the County Of Maricopa LC APPEALS COVER SHEET PLEASE ENTER CAPTION IDENTICAL TO THE ACTION IN THE LOWER Court /ADMINISTRATIVE OFFICE. LC CASE NUMBER: Appellant s Name: _____ (Person who is appealing the action/list additional appellants on back page) VS Appellant s Address: Appellant s Phone Number: LOWER Court CASE NUMBER: (if applicable) NATURE OF ACTION Place an X next to the number which describes the nature of the case.

Page 1 of 2 Form #209 LRD 08/12 ALL RIGHTS RESERVED © Clerk of Superior Court of Arizona in Maricopa County In The Superior Court of the State Of Arizona In and For the County Of Maricopa

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