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Appellate Docket No.: __________________________________________________
Appellate Case Style: ___________________________________________________
seal_140_ns7.gif (4418 bytes) Court of Appeals
Fifth District of Texas at Dallas

CRIMINAL APPEAL - DOCKETING STATEMENT

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PARTIES (TRAP 32.2(a)):
Appellant:
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Appellee:
Attorney (Lead Counsel):

Appointed checkbox1.gif (65 bytes) Retained checkbox1.gif (65 bytes)

Attorney (Lead Counsel):
Address (Lead Counsel):
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Address (Lead Counsel):
Telephone: Telephone:
Fax: Fax:
SBN (Lead Counsel): SBN (Lead Counsel):
If not represented by counsel, provide appellant's/appellee's address, telephone number, and fax number.
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PERFECTION OF APPEAL (TRAP 32.2(b),(d),(f)-(k)):
Date Sentence Imposed or Suspended in
Open Court or Appealable Order Signed:
Date Notice of Appeal Filed:

If Mailed, Date Mailed:

Attach File-Stamped Copy of Notice

ACTIONS EXTENDING TIME TO PERFECT APPEAL (TRAP 32.2(e)):
Mt. for New Trial: Yes checkbox1.gif (65 bytes) No checkbox1.gif (65 bytes)

Mt.in Arrest of Judgment: Yes checkbox1.gif (65 bytes) No checkbox1.gif (65 bytes)

Other (Specify):

Date Filed:

Date Filed:

Date Filed:

Next ] Rev. 9/2/97