<p> IN THE MISSOURI COURT OF APPEALS EASTERN DISTRICT APPEAL NO. _ED CRIMINAL CASE INFORMATION FORM (This form must be filed with the Notice of Appeal with the Circuit Clerk)</p><p>List each party and the name of the attorney of record on appeal, if any, for each party. Attach additional sheets to identify all parties and attorneys if necessary.</p><p>Party Attorney STATE OF MISSOURI Name Bar No.</p><p>Address</p><p>City, State, Zip Code</p><p>Phone Number</p><p> v. Law Firm or Office</p><p>Name Bar No.</p><p>Address</p><p>City, State, Zip Code</p><p>Phone Number</p><p>Law Firm or Office ______</p><p>ATTACH A COPY OF THE JUDGMENT OR ORDER APPEALED.</p><p>A BRIEF STATEMENT OF THE CASE (Set forth charge(s) and sentence(s) imposed and summary of facts upon which conviction is based.)</p><p>Is this a Misdemeanor Felony or Municipal Conviction? Is the Defendant presently incarcerated? Yes No Has an Appeal Bond been filed? Yes No If Yes, Amount $ </p><p>Name of Surety</p><p>Address of Surety</p><p>City, State, Zip Code</p><p>ATTACH COPY OF APPEAL BOND, IF ANY.</p><p>A COPY OF THIS FORM AND ATTACHMENTS MUST BE SERVED ON THE RESPONDENT.</p>