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Notice of Appeal (2/19/16) CCCR N603 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS q PEOPLE OF THE STATE OF ILLINOIS v. ___________________________________________________ No. _______________________________________________ Trial Judge __________________________________________ Court Reporter_______________________________________ Attorney ____________________________________________ Appeal Check Date ______________________________ Appeal Bond __________________________________ NOTICE OF APPEAL An appeal is taken from the order or judgment described below: Appellant's Name: ___________________________________________________________________________ Appellant's Address: __________________________________________________________________________ Appellant's Attorney: _________________________________________________________________________ Address: ___________________________________________________________________________________ Primary Email: ______________________________________________________________________________ Secondary Email: _______________________________ Tertiary Email:_________________________________ Offense: ___________________________________________________________________________________ Judgment: Guilty of __________________________________________________________________________ _________________________________________on a _____________________________________________ Date: _____________________________________________________________________________________ Sentence: __________________________________________________________________________________ Date Notice Filed: ___________________________________________________________________________ ______________________________ Appellant VERIFIED PETITION FOR REPORT OF PROCEEDINGS AND COMMON LAW RECORD Under Supreme Court Rules 605-608 Appellant requests the Court to order; (1) the Official Court Reporter to transcribe an original and the copy of the proceedings, file the original with the Clerk and deliver the copy to the Appellant, or upon Appellant's written request to the Appellant's attorney of record, and (2) the Clerk to prepare the Record on Appeal. The Appellant, being duly sworn, states that at the time of his/her conviction, s/he was and s/he now is unable to pay for the Record or an appellate lawyer. _________________________________ Appellant SUBSCRIBED and SWORN TO before me this __________________________ day of ____________________ ______________________________ Notary Public ORDER IT IS ORDERED; 1. _________________________________________________________________________ appointed as counsel on appeal, and 2. the Record and Report of Proceedings be furnished to appellant without fees. _______________ , ________ _______________ , __________ ___________________ , ________ ___________________ , ________ _______________ , ________ _______________ , __________ ___________________ , ________ _______________ , ________ _______________ , __________ ENTERED: Dated: _______________________ ________________ _____________________________________________ Judge Judge's No. I acknowledge receipt: ____________________________________________________________Court Reporter DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com