Document for BURTON,NANCY v. MASON,DAVID PHILIP

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       APPEARANCE                                            STATE OF CONNECTICUT
       JD-CL-12 Rev. 1-12                                                                                  Instructions — See Back/Page 2
       P.B. §§ 3-1 thru 3-6, 3-8, 10-13, 25A-2                 SUPERIOR COURT
                                                                    www.jud.ct.gov
       Notice To Self-Represented Parties
       A self-represented party is a person who represents himself or herself. If you are a self-
       represented party and you filed an appearance before and you have since changed your address,
       you must let the court and all attorneys and self-represented parties of record know that you have    Return date
       changed your address by checking the box below:                                                       May-11-2021
           I am filing this appearance to let the court and all attorneys and self-represented               Docket number

           parties of record know that I have changed my address. My new address is below.                   UWY-CV-21-5028294-S
       Name of case (Full name of Plaintiff vs. Full name of Defendant)
        BURTON,NANCY       v. MASON,DAVID PHILIP
         ✖                                       Address of Court (Number, street, town and zip code)
       JudicialHousing  Small   Geographic
       DistrictSession  Claims Area number
                                                 300 GRAND STREET WATERBURY, CT 06702
       Scheduled Court date (Criminal/Motor Vehicle Matters)



       Please Enter the Appearance of
                                                                                                                        Juris number of attorney or firm
       Name of self-represented party (See "Notice to Self-Represented Parties" at top), or name of official, firm, professional corporation, or individual
       attorney
                                                                                                                        424553
        MELICK & PORTER
       Mailing Address (Number, street) (Notice to attorneys and law firms - The address to which papers will be mailed from the
                                                                                             Post office box      Telephone number (Area code first)
       court is the one registered or affiliated with your juris number. That address cannot be changed in this form.)

        900 MAIN STREET SOUTH SUITE 102                                                                            2035960500
       City/town                          State   Zip code                                   E-mail address
                                                                    Fax number (Area code first)
        SOUTHBURY                          CT      06488             2037218532              aahrens@melicklaw.com
       in the case named above for: ("x" one of the following parties; if this is a Family Matters case, also indicate the scope of your appearance)
            The Plaintiff (includes the person suing another person).
            All Plaintiffs.
            The following Plaintiff(s) only:
            The Defendant (includes the person being sued or charged with a crime).
            The Defendant for the purpose of the bail hearing only (in criminal and motor vehicle cases only).
            All Defendants.
         ✖  The following Defendant(s) only: Pty# D-04 SUSAN WINTERS
            Other (Specify):
            This is a Family Matters case and my appearance is for: ("x" one or both)
                   matters in the Family Division of the Superior Court              Title IV-D Child Support matters
       Note: If other counsel or a self-represented party has already filed an appearance for the party or parties "x'd" above,          put
              an "x" in box 1 or 2 below:
       1.     This appearance is in place of the appearance of the following attorney,
              firm or self-represented party on file (P.B. Sec. 3-8):
                                                                                                   (Name and Juris Number)
       2.     This appearance is in addition to an appearance already on file.
       I agree to accept papers (service) electronically in this case under Practice Book Section 10-13                      ✖  Yes          No
       Signed (Individual attorney or self-represented party)       Name of person signing at left (Print or type)          Date signed
       u  437109                                                    ALEXANDER WILLIAM AHRENS                                 Jul 19 2021
       Certification
       I certify that a copy of this document was mailed or delivered electronically or non-electronically on (date)
                                                                                                                 Jul 19 2021       to all attorneys
       and self-represented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented
       parties receiving electronic delivery.
       Name and address of each party and attorney that copy was mailed or delivered to*                                  For Court Use Only
        HOWD & LUDORF LLC - 65 WETHERSFIELD AVENUE/HARTFORD, CT 06114
        PULLMAN & COMLEY LLC - 850 MAIN STREET/PO BOX 7006/BRIDGEPORT, CT 06601



       Signed (Signature of filer)          Print or type name of person signing Date signed      Telephone number
       u  437109                             ALEXANDER WILLIAM AHRENS             Jul 19 2021      2035960500
       *If necessary, attach an additional sheet or sheets with the name of each party and the address which the copy was mailed or delivered to.
                                    Continuation of JDCL12 Appearance Form for UWY-CV-21-5028294-S

                                                   Submitted By MELICK & PORTER (424553)

                                               Certification of Service (Continued from JDCL12)

        Name and Address at which service was made:

        MATTHEW LEVINE - AG-ENVIRONMENT/165 CAPITOL AVE 5TH FLR/HARTFORD, CT 06106

        KARSTEN & TALLBERG LLC - 500 ENTERPRISE DRIVE/SUITE 4B/ROCKY HILL, CT 06067

        JONATHAN HARDING - AG-ENVIRONMENT/165 CAPITOL AVE 5TH FLR/HARTFORD, CT 06106

        ROBERT HILLSON - 53 STATE STREET/BOSTON, MA 02109

        NANCY BURTON (Self Represented) - 154 HIGHLAND AVE ROWAYTON, CT 06853



                                                     ***** End of Certification of Service *****