COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. SUMMONS IN A CIVIL ACTION : Calendar No. United States District Court : JUDICIAL SUBPOENA for thePlaintiff(s)of Colorado District -against- : Civil Ac tion N um ber: : : Defendant(s) : ...................................................... PLAIN TIFF (S), v. SUMMONS THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: DEF END ANT (S). WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , theove nam ed De fendant(s): Honorable at the Court To the ab located at County of in room , on the day serve upon , 20 , at o'clock in the noon, and at any recessed You are hereby summoned and required to of or adjourned date, to testify and give evidence as a witness in this action on the part of the plaintiff's attorney, whose address is: 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 AND FILE WITH THE CLERK OF THE COURT result of your failure to comply. an answer to the complaint which is herewith served upon you, within _____ days of service of this summ ons upon you, Witness, Honorable one of you for the of the exclusive of the day of service. If you fail to do so, jud gm ent by default will be take n ,against the Justicesrelie f de m anded in the com plaint. Court in County, day of , 20 Greg ory C. Langham , Clerk (Attorney must sign above and type name below) By: Depu ty Clerk Attorney(s) for Court) (Seal of the Da te: Office and P.O. Address Clerk, U.S. District Court, Room A-105 Alfred A. Arraj U.S. Courthouse, 901 19th Street, Denver, Colorado 80294-3589 NOT E: This summ ons is issued pursuant to Rule 4 of the Federal Rules of Civil Procedure. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : RETURN OF SERVICE Index No. : NAME OF SERVER: TITLE: Plaintiff(s) -againstCheck one box to indicate appropriate method of service. Calendar No. : JUDICIAL SUBPOENA : : Served personally upon the defendant. Place where left: : Defendant(s) : . Left. copies .thereof .at the .defendant's .dwelling. house .or. usual. place. of .abode. with. a person of suitable age and .. .... .... ... ....... .... .... ... ... . ... .. discretion then residing therein. Name of person with whom the summons and complaint where left: THE PEOPLE OF THE STATE OF NEW YORK Returned unexecuted:: TO Other (specify): GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of STATEMENT OF SERVICE OF FEES in room , on the day of , 20 , at o'clock in the noon, and at any recessed TRAVEL adjourned date, to testify and give evidence as a witness in this action on the part of the SERVICES TOTAL or DECLARATION OF SERVER 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. I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Return of Service and Statement of Service is true and correct. Witness, Honorable Court in Date County, , one of the Justices of the Executed on: day of , 20 Signature of Server Address of Server (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com