Name_____________________________________
Address___________________________________
_________________ , ______ZIP  ________
Date __________________, 2000

Ms. Ashley Ahearn
Appeals Court
Clerk's  Office
Pemberton Square
1500 New Court House
Boston, MA 02108
RE:  _____________________ Vs.______________________    Docket #________________
                      (Plaintiff,  Appellee)                                      (Defendant, Appellant)

Dear Ms. Ahearn:

Pursuant to Appellate Procedure Rule 10 subsection (a), I am enclosing the attached documents for docketing the appeal of the Abuse Order dated  ________________, 2000. 

I am  enclosing an Affidavit of Indigency to cover the docketing fee.

Thank you for your help.

Sincerely, 

_________________  Pro Se  Defendant,  Appellant

CC: Plaintiff or Plaintiff’s Attorney ______________________

CERTIFICATE OF SERVICE

I hereby certify  under penalty of perjury that I have served a copy of this document/Motion upon: 

Plaintiff or Plaintiff’s attorney: (name)______________________________________
Street Address:_____________________________________________
City  _________________________  State  __________  ZIP_______________

by mailing (postage paid) or by hand  on   __________________ ,  20000. 

______________________________
Defendant Name

"A902" home

When the law is against you, argue the facts. When the facts are against you, argue the law. When both are against you, attack the plaintiff.

 @2003 J.W. Wright III . All rights reserved.