IN THE JUVENILE COURT OF MEMPHIS AND SHELBY COUNTY, TENNESSEE Docket Number ______________________________ NOTICE OF APPEAL Notice is hereby given that ________________________________________, appeals to: The Circuit Court of Shelby County; or The Criminal Court of Shelby County Court of Appeals; or The Criminal Court of Appeals, from the final judgment entered in this cause on the ________ day of _________________________, 20 _____. _________________________________________ Name _________________________________________ Address CERTIFICATE OF SERVICE I hereby certify that I have served a copy of this Notice of Appeal on the opposing party or counsel and the Clerk of Court mentioned above by U. S. mail postage prepaid to the addresses given below this ______day of ____________________, 20 ____. _________________________________________ Appellant _________________________________________ Opposing Party _________________________________________ Appellate Court Clerk _________________________________________ _________________________________________ _________________________________________ Address _________________________________________ Address 6/15/03 JC-17 American LegalNet, Inc. www.USCourtForms.com