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. JUDGMENT ENTRY Respondent, alleged to be Mentally Ill.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOThis matter comes before the Court for a hearing on an Application for Court Ordered medication. After due consideration of the evidence presented by the treating Psychiatrist , the Court finds that clear and convincing evidence was not presented to show that the respondent lacked the capacity to give an informed consent for the medication prescribed. Accordingly, the Application for Court Ordered medication is hereby dismissed.GREETINGS: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. Date, one of the Justices of theJudge Jack R. PuffenbergerCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. Address«ni31:mdT-Telephone No.: Facsimile No.: E-Mail Address:7/1/02FORM MH-209LC-JUDGMENT ENTRY-DISMISSAL (MEDICATION)Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com