DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA

FOURTH DISTRICT

                     SUSANNE KLEMENT,

                                            Appellant,                                                             Notice of Appeal

                                        V.                              Nos. 502020DR010064 and 502021DR003234

BORIS KOFSMAN o/b/0 A.K., a child

                                                    Appellee.

CERTIFICATE OF SERVICE

I hereby certify that on the ______ day of __________, 20__, a copy of Notice of Appeal which was mailed [   ], postage prepaid [   ] hand delivered to:-

Name: _________________________________

Address: _______________________________

City, State, Zip Code: _____________________

Signature: __________________

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