COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : DATA SHEET : Plaintiff(s) -against- Index No. Calendar No. JUDICIAL SUBPOENA : Judicial Consent to Abortions for Minors : Pursuant to A.R.S. § 36-2152(B) : Defendant(s) : ...................................................... Petitioner’s true name: __________________________________________________ THE PEOPLE OF THEbe used OF any): YORK Fictitious name to STATE (if NEW _________________________________________ TO Name of attorney (if any): ________________________________________________ Attorney’s address: _____________________________________________________ GREETINGS: Attorney’sCOMMAND YOU, that all business and excuses being laid aside, you and each of you attend before phone number: ________________________________________________ WE , the Honorable at the Court Please located at County ofindicate which of the following methods you wish to have the court use to contact inyou regarding ,thisthe room on proceeding. In making 20 day of , your decision as to how you want to be any recessed , at o'clock in the noon, and at orcontacted, please keep ingive evidence the court must keep this matter strictly adjourned date, to testify and mind that as a witness in this action on the part of the confidential. ____ The court maycomply with this subpoena is punishable as a contempt of court and will make you liable to Your failure to telephone me at the following number: _______________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result ofThe court may contact me by mail at the following address: ____ your failure to comply. Street Address: _________________________________________ Witness, Honorable , one of the Justices of City, State, and Zip Code: _________________________________ the Court in County, day of , 20 ____ The court may contact me at the following e-mail address: ____________________ (Attorney must sign above and type name below) ____ The court may contact me at the following fax number: ______________________ ____ I only want to be contacted personally and I amAttorney(s) for for appearing in person responsible at the office of the clerk of the superior court. ___________________ Date 03.03.03 Office and P.O. Address _____________________________________ Signature of Petitioner (Please use true name) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com