COURT ATTORNEY OR PARTY WITHOUT AN ATTORNEY COUNTY . . . . . . . . . . . .OF. . . . . . . . . .(name,. state. bar number, . . .address). . . . . . . . . . .For Court Use Only . . . . . . . . . . . . and . . . . : Index No. : Calendar No. TELEPHONE NO: ATTORNEY FOR (name): FAX NO: Plaintiff(s) : : : : JUDICIAL SUBPOENA -againstSUPERIOR COURT OF CALIFORNIA, COUNTY OF NEVADA 201 Church Street, Suite 5 Nevada City, CA 95959 Plaintiff/ Petitioner: : Defendant:/ Respondent: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............ Defendant(s) Case Number STIPULATION AND ORDER TO PARTICIPATE IN ADR THE PEOPLE OF all parties stipulate to participate Pursuant to CRC §1590.1, THE STATE OF NEW YORK in mediation of this case. Any ADR Services shall be paid for by the parties pursuant to a separate ADR Fee Agreement. TO The parties further stipulate: That GREETINGS: be appointed as the mediator. Address: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court City, State, of located at County Zip: in room , on the day of , 20 , at o'clock in the noon, and at any recessed Phoneadjourned date, to testify and give evidence as a witness in this action on the part of the or Number: That the court appoint a mediator. It is understood that the ADR to comply with this subpoena is punishable as a contempt of court the conclusion of the case.to Your failure Information Form must be submitted by the parties and counsel at and will make you liable the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Attorney(s) signing on behalf of their client(s) have been given the authority to stipulate to mediation. result of your failure to comply. ___________________ Honorable ___________________________________ Witness, Type or Print Name Court in County, day of , 20 ___________________________________ Type or Print Name Date ___________________________________ , one of the Justices of the Signature of Party or Attorney for Party ___________________ Date ___________________________________ Signature of and type Attorney for (Attorney must sign above Party or name below) Party ___________________ Date ___________________________________ ___________________________________ Attorney(s) for Type or Print Name Signature of Party or Attorney for Party ___________________________________ Type or Print Name ___________________ Date ___________________________________ Signature of Party Office and P.O. Address or Attorney for Party APPROVED: Telephone No.: Facsimile No.: _____________________________________ DATED: E-Mail Address: SUPERIOR COURT JUDGE OF THE ________________________________________________________________________________________________________________________________________________________________________________________ Mobile Tel. No.: STIPULATION AND ORDER TO PARTICIPATE IN ADR Page 1 of 1 LOCAL CIV6 (Effective 7/1/03) American LegalNet, Inc. www.USCourtForms.com