NOTICE OF INTENT TO APPEAL

THE STATE OF SOUTH CAROLINA

IN THE SUPREME COURT

APPEAL FROM COUNTY

FAMILY COURT

HONORABLE , JUDGE

Docket No.

IN RE:	JANE DOE, a Minor Under the Age of Seventeen (17) Years

NOTICE OF APPEAL

JANE DOE appeals from the Order of the Honorable , dated , bearing the docket number in a waiver of parental consent for abortion proceeding.

Attorney for Jane Doe
Address

NOTICE TO CLERK OF COURT: Notify S.C. Court Administration immediately upon receipt of this Notice of Appeal, so that the Court Reporter may be directed to prepare the transcript.

SCCA 465 (5/02)

SCCA 465 (12/2009)

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tstevenson

2009-12-14

wclark

SC Judicial Dept