COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF:CASE NO. Respondent, alleged to be Mentally Ill.NOTICE OF HEARING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TO THE FOLLOWING PERSONS: This matter is set for hearing before this Court upon an Application for Court Ordered Medication at: Place: Date: Time: THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS: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 roomWitness my signature and seal of the Court, this day of , 20.Your 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.Judge Jack R. Puffenberger ByDeputy Clerk THIS NOTICE MAILED REGULAR MAIL THIS DATE, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)TO: Respondent's Legal Guardian-if applicable Respondent's Spouse ApplicantRespondent's Counsel Chief Clinical Officer Community Mental Health board Attorney for Community Mental Health Board or Designee Ohio Legal Rights Service Other:Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:«ni317mdE-7/1/02FORM MH-206LC-NOTICE OF HEARING (MEDICATION)Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com