JV-817: JV 817 Form | CA Small Claims

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App Case Number

App District

App D Iv

Atty Bar No

Case Number

Atty Name

Atty Firm

Atty Street

Atty City

Atty State

Atty Zip

Phone

Fax

Email

Atty For

In Re

Appellant

Respondent

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list

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mp

Court Link

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Appellant

App Case Number

Respondent

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list6_cont

check box 11

check box 10

fill text 19

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po_p

Sig Date

Type Name

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order

Order Where

Granted Denied

Date Granted

Granted Denied

Jo Sig Date

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mp_last

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