COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : District Court Denver Juvenile Court ____________________________ County, Colorado Court Address: Plaintiff(s) -against- Index No. : Calendar No. : JUDICIAL SUBPOENA : In the Interest of: : Petitioner: : v. Respondent: COURT USE ONLY Defendant(s) : . . .Attorney. or. Party. Without .Attorney .(Name .and Address):. . . . . . . . . . ...... . .... ...... ...... .... ........ Case Number: Phone Number: E-mail: THE PEOPLE OF THE STATE OF NEW YORK Division FAX Number: Atty. Reg. #: WAIVER OF SERVICE TO Courtroom I, ____________________________________________, accept service on ________________________ (date) of the Summons and Verified Petition in this case, having received a copy of each and consent to the hearing held on the date set in the Summons or any date and time the case is continued for hearing. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Respondent , the Honorable at the Court Subscribed to before me County of and affirmed, or sworn located at in the County of __________________, State of ________________, this _________ day of _____________, 20 _______. in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the ___________________________________ My commission expires: ________________________ Deputy Clerk/Notary Public Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to RETURN a maximum penalty of $50 and all damages sustained as a the party on whose behalf this subpoena was issued for OF SERVICE result of your failure to that I served this Summons and a copy of the Petition in this case on the Respondent in I declare under oath comply. __________________ (County) _______________(State) on ______________(date) ______ (time) at the following location: Witness, Honorable Court in County, , one of the Justices of the ____________________________________________________________________________________________________ Check one: day of , 20 By handing it to a person identified to me as the Respondent. By leaving it with the Respondent who refused service. (Attorney must sign above and type name below) By leaving it with ___________________________________ designated to receive service for the Respondent. I am over the age of 18 years and am not interested in nor a party to this case. I attempted to serve the Respondent on _______ occasions but Attorney(s) for have not been able to locate the Respondent. Return to the Petitioner is made on (date). Private process server ___________________________________ Sheriff, _________________________County Signature of Process Server Fee $ ____________ Mileage $ ________ ___________________________________ Office and Name Address P.O. (Print or type) Subscribed and affirmed, or sworn to before me in the County of __________________, State of ________________, this _________ day of _____________, 20 _______. Telephone No.: My commission expires: ________________________ JDF 1503 R5/04 WAIVER OF SERVICE Facsimile No.: ___________________________________ E-Mail Address: Notary Mobile Tel. No.: Public American LegalNet, Inc. www.USCourtForms.com