COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGEJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF:CASE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Respondent, alleged to be Mentally Ill.THE PEOPLE OF THE STATE OF NEW YORK TOJOURNAL ENTRY APPOINTING COUNSELGREETINGS:It appearing to the Court that the respondent is unable to obtain counsel or is indigent, the Court hereby orders that , Attorney at Law, is appointed to act as Counsel in this matter. In the event that the above captioned person is not indigent, the Court reserves the right to assess costs to said person. The Court also orders the release of relevant medical records to the Attorney for the respondent.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County, DateJudge Jack R. Puffenberger ByDeputy Clerk(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. Address«ni314md6-Telephone No.: Facsimile No.: E-Mail Address:7/1/02FORM MH-203LC-JOURNAL ENTRY APPOINTING COUNSEL (MEDICATION)Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com