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FLORIDA

COMMISSION ON HUMAN RELATIONS

[plfName]	)
Petitioner	)
)	FCHR Case No:	[fchrNo]
v.	)	DOAH Case No:	[doahNo]
)	Order No:	[ordNo]
[defName]	)
Respondent	)

PETITIONER’S NOTICE OF APPEAL

PLEASE TAKE NOTICE that Petitioner/Appellant, [plfName], on this [d] day of [MMM] [YYYY], respectfully appeals to the [appDist], the following order:

Dkt	Title	Date Rendered
[#]	“[orderTitle]”	[dtRndr]

Nature of appealed order ≈ [ordType]

A conformed copy of which is attached in accordance with Rule 9.030(b)(1)(c) Fla. R. App. P.. Likewise, a Certificate of Civil Indigency is attached pursuant to Rule 9.430(a) Fla. R. App. P.

(Please see Order #1 and Addendum A, respectively)

Respectfully submitted,

/s/ [plfName]

[plfName], Plaintiff

[plfAddy]

P: [plfPhn]

E: [plfEml]

W: TextBookDiscrimination.com

Get Booked Up on Justice!

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that on this [D] day of [MMM] [YYYY], I delivered a true and correct copy of the foregoing to the following (via email):

/s/ [plfName]

Endnotes:

How-To Guide: (interactive)

TextBookDiscrimination.com/Guides/NoticeAppeal.html

SERVICE LIST

[defAtt], Esquire ([barNum]) E: [defEml] P: [defPhn] (defendant’s trial lawyers)
[clerkName], Agency Clerk Florida Commission on Human Relations Room 110 4075 Esplanade Way Tallahassee, Florida 32399-7020 (agency)

ORDER #1

Florida Commission on Human Relations

[fchrNo]

[dtRndr]

“[orderTitle]”

ADDENDUM A

Florida Commission on Human Relations

[fchrNo]

[dtRndr]

“Certificate of Indigence”

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