COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. Calendar No. FOR COURT USE ONLY San Luis Obispo Branch, County Government Center, 1050 Monterey Street, Room 220, San Luis Obispo, CA 93408 Grover Beach Branch, 214 South 16th Street, Grover Beach, CA 93433 Plaintiff(s) Paso Robles Branch, 549 10th Street, Paso Robles, CA 93446 -againstvs. Name: Superior Court of California, County of San Luis Obispo : : : : JUDICIAL SUBPOENA Plaintiff, THE PEOPLE OF THE STATE OF CALIFORNIA : Defendant, Case Number Defendant(s) : . . .PETITION .AND.ORDER.RE: . VACATING.CIVIL. ASSESSMENT ........ ... ...... ... ......... .... ............ (Penal Code § 1214.1) Address: _________________________________________________ Telephone No. ____________________________ THE PEOPLE OF THE STATE OF NEW YORK (Street) (City/State) TO A MONEY ORDER OR CASHIER'S CHECK FOR A TOTAL OF THE ORIGINAL AMOUNT OF YOUR BAIL PLUS $100.00 MUST BE ATTACHED TO THIS PETITION. Original bail or fine $ _________ minus money already received $ ________ plus $100 = $ ____________. Should your petition be DENIED, and, unless otherwise ordered, you fail to file a written request within 15 days from the mailing of the order set forth below for an evidentiary (factual) hearing on your willful failure to appear, the attached payment will be WE COMMAND YOU, a conviction of the Vehicle Code section with you and each of you attend before considered a forfeiture of the bail and 1) that all business and excuses being laid aside, which you were charged will occur , theto Vehicle Code § 40512, and 2) your Civil Assessment will be deemed satisfied. Honorable at the Court pursuant GREETINGS: County of located at Should your petition be GRANTED, unless you file a written,request ,for a court trial within 15 days from the mailing of recessed in room , on the day of 20 at o'clock in the noon, and at any the order set forth below, the bail will be forfeited give a conviction of witness in this action on the part of the were charged will occur and evidence as a the Vehicle Code section with which you or adjourned date, to testify and pursuant to Vehicle Code § 40512. Written proof of any of the following shall be attached and shall cover the time period in question. Your failure to comply with this subpoena punishable as a Military of court will make you liable Hospitalization whose behalf Incarcerationwas issuedisfor a OverseascontemptDuty and anddamages sustained asto the party on this subpoena maximum penalty of $50 all a Explanation: (Use reverse side of this form if necessary) result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 I DECLARE UNDER PENALTY OF PERJURY that the above information is true and correct to the best of my knowledge. Executed at __________________________________________________, this ________ day of ___________, ______. (City/County) (Attorney must sign above and type name below) _____________________________________________ Defendant Signature ORDER OF THE COURT PETITION DENIED. Civil Assessment applicable $ _________. Fine applicable $ __________ = Total: $_________. PETITION GRANTED. Civil Assessment is ordered vacated. HEARING SET: ___________________. Office and P.O. Address _____________________________________________ Judge _________________________________________________________________________________________________ Telephone No.: Dated: __________________________________ Attorney(s) for Facsimile No.: Bail is to be applied with no further proceedings . A refund in the amount of $_______ will be mailed within 6 weeks. E-Mail Address: The Department of Motor Vehicles has been notified to release anyMobilerelated to this action. holds Tel. No.: 2520-301 (0404) American LegalNet, Inc. www.USCourtForms.com