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FORMA [Rute 9 cacr 153 NOTICE OF APPEAL (All Offenders) MAR 1 8 2016 ‘OURT OF APPEAL FOR SASKATCHEWAN BETWEEN: ——TAMMY_LYNN_GOFORTH Appellant AND: HER MAJESTY THE QUEEN Respondent A. THE APPELLANT WISHES TO APPEAL FROM: CONVICTION \/_ CONVICTION AND SENTENCE SENTENCE ALONE. DANGEROUS OFFENDER OR LONG: RM O| DER DESIGNATION OTHER ‘Giatare of appeal other tian above) B. PARTICULARS OF APPELLANT: Name: COED RTH East name First narae “Hey OG 14 year month day Tpmeny Lian ldle vame Date of Birth: Ifthe appellant is a corporation: the appeliant is in custody: [> Wf ‘oval aston ef cre applinticotooy: BBG. Vung Bk fabots excl Se Marsh (obmnbic province: eset Phone number: (0) Email address: Fax number: (~ ) C. PARTICULARS OF CONVICTION AND SENTENCE fon: Provineiat Court_FARCA OCA Hen Ae ae of Queen’s Bench a Santi! Centre of <1 Neuse eee 2, Name of deer FAL huey Calg “pe pnucler Cunt 1. Location of Conv’ 4. Sentence imposed: Sree eg etn Gre ee eerie 5. ate of Convietins O16 1 0% 1 Ohh year ‘nonth cay 6. Date of Sentence: BO/O/__O_/ ‘year ‘one D, GROUNDS OF APPEAL: “THE APPELLANT WISHES TO APPEAL FOR THE FOLLOWING REASONS: LEGAL REPRESENTATION: 1. The Appellant is represented on appeal by: Name of Lawyer: _ Denale. Ae} 2 Address: postal code Phone number: (2) ASS W103. Email address: Fax number: ( -OR- 2, The appellant does not presently have a lawyer but he or she intends to: Z, arange for legal representation or act for himseli/herself'on appeal. “4 F, PRESENCE AT APPEAL HEARING (MARK ONE ONLY) At sa hearing, the Appellant wishes to: be personally present or appear by video conference connection (if available at penal institution) or 1 be present IF A NEW TRIAL IS DIRECTED, THE APPELLANT WISHES TO BE TRIED: ___ by judge and jury _ by single judge. AK ay Seratwr (Please Note: A copy af this Notice of Appeal will be provided to the Crown by the Registrar.) TO: REGISTRAR COURT OF APPEAL FOR SASKATCHEWAN 2425 VICTORIA AVENUE ‘Telephone: 306-787-5382 Fax:’ 306-787-5815 e-file: htis:(/ecourtsasklawenurts ex

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