JUSTICE COURT , HENDERSON TOWNSHIP CLARK COUNTY, NEVADA Plaintiff, Case No. - vs - NOTICE OF APPEAL Defendant. __________________________________/ The ______________________________ in the above entitled matter appeals to the District Court, Clark County, Nevada, from the judgment entered on the ____ day of ________________________, 20____ in the above entitled court. DATE: __________________________ ___________________________________________ Appellant _____________________________________________ A ddress ____________________________________________ CERTIFICATE OF MAILING The undersigned certifies that on the _____ day of ____________________________, 20____, a copy of the foregoing Notice of Appeal was mailed to ____________________________________ at _______________________________________________________________________________ by depositing a copy in the United States Mail in an addressed sealed envelope, postage prepaid. DATE: __________________________ ____________________________________ Name